Individual
DONNA R HOMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3012 DEWITT AVE, MATTOON, IL 61938-2356
(217) 235-0011
(217) 235-0036
Mailing address
3012 DEWITT AVE, MATTOON, IL 61938-2356
(217) 235-0011
(217) 235-0036
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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