Individual
ANITA L POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 S GIANT CITY RD, CARBONDALE, IL 62902-5056
(618) 457-3591
Mailing address
925 S GIANT CITY RD, CARBONDALE, IL 62902-5056
(618) 457-3591
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
041394796
IL
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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