Individual
AMANDA RATCLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2920 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-5924
(618) 244-6544
Mailing address
4241 HIGHWAY 14 W, CHRISTOPHER, IL 62822-1037
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043106884
IL
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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