Individual
XENNIA GRUSZCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
83 E GLENDALE RD, GOLCONDA, IL 62938-4019
(708) 717-2872
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041292045
IL
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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