Individual
ELIZABETH DIMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
822 13TH AVE, FULTON, IL 61252-1332
(569) 559-5148
Mailing address
822 13TH AVE, FULTON, IL 61252-1332
(569) 559-5148
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
About Stedi
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