Individual
MR. REGINALD PATRICK WINCE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
5900 BOND AVE, CENTREVILLE, IL 62207-2326
(618) 332-3060
(618) 332-5297
Mailing address
32 HI POINTE DR, BELLEVILLE, IL 62223-7119
(618) 398-8482
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209005440
IL
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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