KIMBERLY FASULA

CHICAGO, IL
NPI1548866916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020009530)
Enumeration Date2020-12-09
Last Update Date2020-12-09
Business Address
KIMBERLY FASULA RDH, MS, MPH
836 W WELLINGTON AVE
CHICAGO, IL 60657-5147
Phone number: 773-474-6896
Mailing Address
KIMBERLY FASULA RDH, MS, MPH
3830 S LOWE AVE
CHICAGO, IL 60609-1645
Phone number: 773-474-6896
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