Individual
LAKETIA COTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
314 LELAND ST, PEORIA, IL 61602-1825
(309) 643-2309
Mailing address
314 LELAND ST, PEORIA, IL 61602-1825
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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