Midori Lizeth Fentanes Duran

NPI #1114636420 in Westmont, Illinois

Provider Information

NPI Number: 1114636420
Entity Type: Individual
Name: Midori Lizeth Fentanes Duran
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 16, 2022
Last Updated: Nov 16, 2022

Practice Location

Address: 740 QUAIL RIDGE DR BLDG D
City: Westmont
State: Illinois
ZIP Code: 60559-6148
Phone: (708) 600-0470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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