ANASTASIA GANT KANEGUSUKU

CHICAGO, IL
NPI1912607698
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
(Licence: IL  NA)
Enumeration Date2023-03-09
Last Update Date2023-03-09
Business Address
ANASTASIA GANT KANEGUSUKU
5841 S MARYLAND AVE # MC0006
CHICAGO, IL 60637-1443
Phone number: 773-702-5338
Mailing Address
ANASTASIA GANT KANEGUSUKU
5841 S MARYLAND AVE # MC0006
CHICAGO, IL 60637-1443
Phone number: 773-702-5338