ELMA DIVINAGRACIA

BERWYN, IL
NPI1306874904
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  041167282)
Enumeration Date2006-06-30
Last Update Date2016-10-13
Business Address
-- ELMA DIVINAGRACIA CRNA
3249 OAK PARK AVE ANESTHESIA DEPARTMENT
BERWYN, IL 60402-3429
Phone number: 708-783-3667
Mailing Address
-- ELMA DIVINAGRACIA CRNA
68 S. SERVICE RD SUITE 350
MELVILLE, NY 11747-2358
Phone number: 516-945-3115
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