Individual
JAQUELINE LUNA ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3054 W 40TH ST, CHICAGO, IL 60632-2418
(773) 949-4400
Mailing address
3054 W 40TH ST, CHICAGO, IL 60632-2418
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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