Individual
SHERRY ANN HUSKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2116 HARRISON AVE, GRANITE CITY, IL 62040-2551
(618) 722-1300
Mailing address
2116 HARRISON AVE, GRANITE CITY, IL 62040-2551
(618) 722-1300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.101575
IL
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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