Individual
DANA LAREE RITCHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 W 9TH ST, GEORGETOWN, IL 61846-1419
(217) 474-6093
Mailing address
13541 N WEST AVE, PERRYSVILLE, IN 47974-8093
(812) 229-0492
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.074239
IL
Other
Enumeration date
05/15/2021
Last updated
05/15/2021
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