Individual
MONTIA LATRESE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 FULTON ST STE 207, PEORIA, IL 61602-1332
(309) 671-8580
(309) 671-7747
Mailing address
3623 W HEDGE HILL LN APT 1, PEORIA, IL 61615-2581
(309) 404-5318
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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