Individual
WENDY VALLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4241 HIGHWAY 14 W, CHRISTOPHER, IL 62822-1037
(618) 724-2401
Mailing address
209 NW 11TH ST, FAIRFIELD, IL 62837-1218
(618) 724-2401
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043104551
IL
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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