MELONICA LUANNE LACSAMANA KOZIL

EDWARDSVILLE, IL
NPI1861276800
Former NameMELONICA LACSAMANA LECAROZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-08-21
Last Update Date2023-08-21
Business Address
MELONICA LUANNE LACSAMANA KOZIL
2101 STANFORD PL
EDWARDSVILLE, IL 62025-8001
Phone number: 847-373-4540
Mailing Address
MELONICA LUANNE LACSAMANA KOZIL
2101 STANFORD PL
EDWARDSVILLE, IL 62025-8001
Phone number: 847-373-4540