Individual
SUZANNE ALDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
408 E VINE ST, VIENNA, IL 62995-1612
(618) 658-2611
Mailing address
370 SANDBURN LN, VIENNA, IL 62995-2034
(618) 771-2843
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
IL
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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