Individual
TONYA LEE BURDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 S DOUGLAS ST, LITCHFIELD, IL 62056-1851
(217) 851-6474
Mailing address
315 S DOUGLAS ST, LITCHFIELD, IL 62056-1851
(217) 851-6474
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
IL
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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