Individual
JAMIE MICHELLE PRANAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 AUERBACH PL, GLEN CARBON, IL 62034-1596
(618) 205-2135
Mailing address
27 AUERBACH PL, GLEN CARBON, IL 62034-1596
(618) 205-2135
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041467200
IL
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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