Individual
MARION REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3408 OFFICE PARK DR, MARION, IL 62959-6477
(618) 997-5266
(618) 997-5285
Mailing address
1407 MCPHERSON AVE, MOUNT VERNON, IL 62864-2822
(618) 997-5266
(618) 997-5285
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209.015444
IL
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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