Individual
MRS. LOGAN KOZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1951 RAMADA BLVD APT 7, COLLINSVILLE, IL 62234-6214
(331) 213-3150
Mailing address
1951 RAMADA BLVD APT 7, COLLINSVILLE, IL 62234-6214
(331) 213-3150
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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