ALEXIS DESARAE LAPORTA

WAUKEGAN, IL
NPI1245896588
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-05-13
Last Update Date2019-05-13
Business Address
ALEXIS DESARAE LAPORTA
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8296
Mailing Address
ALEXIS DESARAE LAPORTA
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8296