Individual
RUBY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14429 S EMERALD AVE, RIVERDALE, IL 60827-2618
(708) 368-8021
Mailing address
14429 S EMERALD AVE, RIVERDALE, IL 60827-2618
(708) 368-8021
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
N425-7405-4765
IL
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
About Stedi
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