Individual
MRS. DEBRA G. TRAVELSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1130 E WALNUT ST, CARBONDALE, IL 62901-5007
(618) 351-1031
(618) 351-1107
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
(618) 351-1107
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041298272
IL
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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