Individual
SOPHIE ANN TOOTELIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8334 N WADDAMS GROVE RD, LENA, IL 61048-9750
(815) 908-3444
Mailing address
8334 N WADDAMS GROVE RD, LENA, IL 61048-9750
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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