Individual
RETA JEAN YODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 WILLIAMS ST, COWDEN, IL 62422-4135
(540) 622-3082
Mailing address
701 WILLIAMS ST, COWDEN, IL 62422-4135
(540) 622-3082
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
04/29/2020
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