MRS. Colleen Prouza

NPI #1134481583 in Westchester, Illinois

Provider Information

NPI Number: 1134481583
Entity Type: Individual
Name: MRS. Colleen Prouza
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 12, 2012
Last Updated: Jun 12, 2012

Practice Location

Address: 9846 W ROOSEVELT RD
City: Westchester
State: Illinois
ZIP Code: 60154-2759
Phone: (708) 681-2325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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