Individual
NINA ROSE KOBOLON-NGAUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5710 W RACHAEL CT, PEORIA, IL 61615-3062
(717) 802-4493
Mailing address
5710 W RACHAEL CT, PEORIA, IL 61615-3062
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
041.589014
IL
Other
Enumeration date
03/21/2026
Last updated
03/21/2026
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