Individual
MR. MARSHALL JAMES AYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
156 IL HIGHWAY 15, BLUFORD, IL 62814-3630
(618) 734-6062
Mailing address
156 IL HIGHWAY 15, BLUFORD, IL 62814-3630
(618) 734-6062
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
041.300163
IL
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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