Individual
MS. ELAINE KAY DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
610 OPHIA ST, METROPOLIS, IL 62960-2176
(612) 810-2302
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
194.007666
IL
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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