Individual
SHARON L TREXLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 PLEASANT VALLEY RD, THOMPSONVILLE, IL 62890-2020
(618) 513-8307
Mailing address
170 PLEASANT VALLEY RD, THOMPSONVILLE, IL 62890-2020
(618) 513-8307
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
—
—
347C00000X
Private Vehicle
3234249B
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T624-7927-0776
DRIVER'S LICENSE
IL
Enumeration date
10/20/2022
Last updated
10/20/2022
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