Individual
JODIE ANNE LOESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9615 W AKRON RD, PRINCEVILLE, IL 61559-9514
(309) 657-6361
Mailing address
9615 W AKRON RD, PRINCEVILLE, IL 61559-9514
(309) 657-6361
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041185375
IL
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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