Individual
MRS. DORIS BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1402 PRICE ST, OTTAWA, IL 61350-1710
(309) 824-7044
Mailing address
1402 PRICE ST, OTTAWA, IL 61350-1710
(309) 824-7044
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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