Individual
PENNY E CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
151 N MAIN ST, DECATUR, IL 62523-1206
(217) 362-6262
(217) 362-6290
Mailing address
151 N MAIN ST, DECATUR, IL 62523-1206
(217) 362-6262
(217) 362-6290
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043-083742
IL
Other
Enumeration date
05/04/2010
Last updated
05/07/2010
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