Individual
MICHELLE ENES PEREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
414 BEACH AVE APT 1A, LA GRANGE PARK, IL 60526-5736
(708) 427-6070
Mailing address
414 BEACH AVE APT 1A, LA GRANGE PARK, IL 60526-5736
(708) 427-6070
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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