Individual
CHRISTINA MARIE CLAMPITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
405 TIMBERLAN RD, METAMORA, IL 61548-9187
(309) 253-6302
Mailing address
16104 N REGENCY PARK PL, CHILLICOTHE, IL 61523-9476
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043106485
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043106485
LPN
IL
01
—
164W00000X
NPI
IL
Enumeration date
03/06/2019
Last updated
03/06/2019
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