Individual
MR. DREW ASHTON WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
11531 SUNDERLAND RD, MARION, IL 62959-8274
(618) 964-5139
Mailing address
24 W TOWLE ST, HARRISBURG, IL 62946-1070
(618) 771-7605
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043126419
IL
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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