Individual
HILDA MKWEZALAMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 CHICKORY DR, CHAMPAIGN, IL 61822-2101
(217) 819-0573
(443) 312-5613
Mailing address
810 CHICKORY DR, CHAMPAIGN, IL 61822-2101
(217) 819-0573
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
041400061
IL
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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