Individual
ALETHIA JULIANNA KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMSA
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
418 W WEBSTER ST APT 5, BENTON, IL 62812-1481
(618) 218-1145
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
IL
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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