Michael Palencia

NPI #1902271703 in Tinley Park, Illinois

Provider Information

NPI Number: 1902271703
Entity Type: Individual
Name: Michael Palencia
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 4, 2015
Last Updated: Jul 28, 2018

Practice Location

Address: 16536 MANCHESTER ST
City: Tinley Park
State: Illinois
ZIP Code: 60477
Phone: (708) 217-7405

Specialties & Taxonomy Codes

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

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