Individual
RAMONA HURSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3008 W DANIEL ST, CHAMPAIGN, IL 61821-4054
(217) 390-1794
Mailing address
2011 MORELAND BLVD UNIT 205, CHAMPAIGN, IL 61822-1435
(217) 390-1794
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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