Organization
WASHITUP LOGISTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE S UPTON REGISTER NURSE (REGISTER NURSE)
(708) 574-0366
Entity
Organization
Contact information
Practice address
15436 INGLESIDE AVE, DOLTON, IL 60419-2758
(708) 574-0366
Mailing address
15436 INGLESIDE AVE, DOLTON, IL 60419-2758
(708) 574-0366
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
01/15/2022
Last updated
01/15/2022
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