GRACE NWAKA WABOMNOR

SOUTH HOLLAND, IL
NPI1548725799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IL  209018727)
Enumeration Date2019-02-01
Last Update Date2019-02-01
Business Address
GRACE NWAKA WABOMNOR ANP
17 E GRANDVIEW DR
SOUTH HOLLAND, IL 60473-1099
Phone number: 708-439-5003
Mailing Address
GRACE NWAKA WABOMNOR ANP
17 E GRANDVIEW DR
SOUTH HOLLAND, IL 60473-1099
Phone number: 708-439-5003
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