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Jayva Lonyae Perrin

Developmental Therapist in Aurora, IL. Individual provider (NPI-1).

NPI number1164048195
StatusActive
Last updated in NPPESJul 24, 2020

Details

NPI
1164048195
Entity type
Individual (NPI-1)
Name
Ms. Jayva Lonyae Perrin
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 25, 2020
Certification date
Jul 24, 2020
Last updated
Jul 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

2112 W Galena Blvd Ste 8-316
Aurora, IL 60506-3255

Phone 708-965-2268

Mailing address

2112 W Galena Blvd Ste 8-316
Aurora, IL 60506-3255

Phone 708-965-2268

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