Individual
LADONNA RISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT
Contact information
Practice address
800 N MAIN ST, ANNA, IL 62906-1665
(618) 833-4456
(618) 833-2371
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 937-6483
(618) 937-1440
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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