Individual
NYESHA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
326 W H ST APT 7, SWANSEA, IL 62226-4331
(618) 698-7756
Mailing address
326 W H ST APT 7, SWANSEA, IL 62226-4331
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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