Individual
JAYE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 S ROUTE 12, FOX LAKE, IL 60020-1750
(847) 587-8222
Mailing address
3017 PLEASANT DR, MCHENRY, IL 60051-2636
(815) 575-6867
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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