Individual
MRS. DIANE SUSAN MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 E MARVIN ST, CENTRALIA, IL 62801-2432
(618) 335-1899
Mailing address
142 E MARVIN ST, CENTRALIA, IL 62801-2432
(618) 335-1899
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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