Individual
MISS SHAYLAN WIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 SOUTH ST, PEKIN, IL 61554-5743
(309) 427-0293
Mailing address
502 SOUTH ST, PEKIN, IL 61554-5743
(309) 427-0293
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1424676
IL
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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