Individual
RHIAN BOLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
16342 N IL HWY 37, MT. VERNON, IL 62864
(618) 242-1510
(618) 242-0958
Mailing address
PO BOX 427, MOUNT VERNON, IL 62864-0054
(618) 242-1510
(618) 242-0958
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043087081
IL
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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