Individual
MS. FERN ILENE MCKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17458 WEST SHEDD ROAD, CASA GRANDE, AZ 85193
(520) 560-2160
Mailing address
17458 WEST SHEDD ROAD, CASA GRANDE, AZ 85193
(520) 560-2160
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP034704
AZ
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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