Individual
HUONG N GASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
715 S LICK CREEK RD, BUNCOMBE, IL 62912-3168
(619) 988-4358
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041419731
IL
363L00000X
Nurse Practitioner
Primary
209029142
IL
Other
Enumeration date
02/02/2022
Last updated
10/08/2024
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