Individual
DIANA SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 FAIRGROUNDS RD, VIENNA, IL 62995-1504
(618) 309-5733
Mailing address
5 FAIRGROUNDS RD, VIENNA, IL 62995-1504
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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