Individual
MRS. GRETCHEN MARIE CLAVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1711 MAYFAIR RD, CHAMPAIGN, IL 61821-5522
(217) 480-7436
Mailing address
1711 MAYFAIR RD, CHAMPAIGN, IL 61821-5522
(217) 480-7436
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.501601
IL
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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