Individual
MS. VICKI LYNN TILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COSMETIC TECHNICIAN
Contact information
Practice address
200 W MONROE ST, SUITE 309, BLOOMINGTON, IL 61701-3997
(309) 242-4951
(309) 827-5382
Mailing address
200 W MONROE ST, SUITE 309, BLOOMINGTON, IL 61701-3997
(309) 242-4951
(309) 827-5382
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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