Individual
MS. WENDY SUE GOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4809 N SHERIDAN RD, PEORIA, IL 61614-5927
(309) 645-4028
Mailing address
4809 N SHERIDAN RD, PEORIA, IL 61614-5927
(309) 645-4028
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
227-009215
IL
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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