Individual
COLLEEN TRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 DANBURY DR, SPRINGFIELD, IL 62704-5437
(217) 717-6144
Mailing address
3 DANBURY DR, SPRINGFIELD, IL 62704-5437
(217) 717-6144
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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