Individual
CHRISTY KLIKNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6048 20TH ST, ROCKFORD, IL 61109
(815) 874-5591
Mailing address
6048 20TH ST, ROCKFORD, IL 61109
(815) 874-5591
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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