Individual
MRS. CHRISTIE WYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 W STOTLAR ST, HERRIN, IL 62948-4408
(618) 713-9432
Mailing address
1408 W STOTLAR ST, HERRIN, IL 62948-4408
(618) 713-9432
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
05/14/2020
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