Individual
BRENDA HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
526 W STATE ST, ROCKFORD, IL 61101-1214
(815) 968-9300
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 387-5600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041408515
IL
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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