MRS. Jaime Boudros Mossman
NPI #1972624609 in Villa Park, Illinois
Provider Information
- NPI Number
- 1972624609
- Entity Type
- Individual
- Name
- MRS. Jaime Boudros Mossman
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- Apr 2, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 32 S CHARLES AVE
- City
- Villa Park
- State
- Illinois
- ZIP Code
- 60181-2618
- Phone
- (630) 204-3366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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