Individual
MISS TONEE JARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 N DIRKSEN PKWY, SPRINGFIELD, IL 62702-6110
(217) 220-8707
(217) 220-8707
Mailing address
PO BOX 20306, SPRINGFIELD, IL 62708-0306
(217) 220-8707
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
IL
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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