Individual
ASHLEY JEAN BYRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14410 ROUTE 37, JOHNSTON CITY, IL 62951
(618) 983-6911
Mailing address
PO BOX 155, CHRISTOPHER, IL 62822-0155
(618) 724-2436
(618) 724-2571
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043106572
IL
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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