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Individual
MARVETTA BACHUS
Active
Individual
MARVETTA BACHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.4355332
IL
163WI0500X
Infusion Therapy Registered Nurse
041.4355332
IL
163WM1400X
Nurse Massage Therapist (NMT)
041.4355332
IL
163WP0200X
Pediatric Registered Nurse
041.4355332
IL
163WS0121X
Plastic Surgery Registered Nurse
041.4355332
IL
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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