ROBERTA JETER

BEACH PARK, IL
NPI1235594623
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020010599)
Enumeration Date2015-12-29
Last Update Date2015-12-29
Business Address
-- ROBERTA JETER
13146 W NEWCASTLE LN
BEACH PARK, IL 60083-3001
Phone number: 847-977-3044
Mailing Address
-- ROBERTA JETER
13146 W NEWCASTLE LN
BEACH PARK, IL 60083-3001
Phone number: