Individual
JENNIFER C STALLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8122
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8122
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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