Individual
ALICIA CRISENBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
421 W CHURCH ST, HARRISBURG, IL 62946-1612
(618) 638-4178
Mailing address
421 W CHURCH ST, HARRISBURG, IL 62946-1612
(618) 638-4178
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043132272
IL
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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