MICHAEL PALENCIA

TINLEY PARK, IL
NPI1902271703
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-12-04
Last Update Date2018-07-28
Business Address
MICHAEL PALENCIA
16536 MANCHESTER ST
TINLEY PARK, IL 60477
Phone number: 708-217-7405
Mailing Address
MICHAEL PALENCIA
64 CHANDON
LAGUNA NIGUEL, CA 92677-5727
Phone number: 708-217-7405
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