Individual
SCARLET DELUHERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2077 EDGEWATER DR, PEKIN, IL 61554-7833
(309) 382-2006
(309) 382-2007
Mailing address
2077 EDGEWATER DR, PEKIN, IL 61554-7833
(309) 382-2006
(309) 382-2007
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
043111149
IL
164W00000X
Licensed Practical Nurse
Primary
043111149
IL
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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