Individual
MRS. RAYE HOSBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
222 S HANOVER ST, METAMORA, IL 61548-9779
(309) 360-3181
Mailing address
222 S. HANOVER, METAMORA, IL 61548
(309) 360-3181
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
IL
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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