Individual
CAROL PERVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
137 E COLLEGE ST, KEWANEE, IL 61443-3703
(309) 852-4331
(309) 854-0122
Mailing address
137 E COLLEGE ST, KEWANEE, IL 61443-3703
(309) 852-4331
(309) 854-0122
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.343047
IL
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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