Individual
VICTORIA J. COLUMBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3248 VANDEVER AVE, PEKIN, IL 61554-6257
(309) 347-5579
(309) 347-4264
Mailing address
3248 VANDEVER AVE, PEKIN, IL 61554-6257
(309) 347-5579
(309) 347-4264
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043035018
IL
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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