Individual
ALEXANDRIA AZUERA FEARS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2405 N LINN ST, PEORIA, IL 61604-3627
(815) 302-1246
Mailing address
2405 N LINN ST, PEORIA, IL 61604-3627
(815) 302-1246
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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