ENRIQUE ESCAMILLA

ROCK ISLAND, IL
NPI1578061651
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: IL  30542)
Enumeration Date2018-01-24
Last Update Date2018-01-24
Business Address
ENRIQUE ESCAMILLA CADC
4230 11TH ST
ROCK ISLAND, IL 61201-6746
Phone number: 309-788-4571
Mailing Address
ENRIQUE ESCAMILLA CADC
4230 11TH ST
ROCK ISLAND, IL 61201-6746
Phone number: 309-788-4571