Individual
LATIFA OMRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 W PARK ST, URBANA, IL 61801-2334
(217) 337-2322
Mailing address
3103 SANDHILL LN, CHAMPAIGN, IL 61822-6180
(217) 721-5278
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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