KIMBERLY MELLA

LIBERTYVILLE, IL
NPI1588038418
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.004035)
Enumeration Date2015-11-16
Last Update Date2015-11-16
Business Address
-- KIMBERLY MELLA
17128 W CUNNINGHAM CT
LIBERTYVILLE, IL 60048-9469
Phone number: 847-650-0286
Mailing Address
-- KIMBERLY MELLA
1 UNIVERSITY AVE
BOURBONNAIS, IL 60914-2345
Phone number: