Individual
ANGELA WILLIAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 2 BOX 150A, ELIZABETHTOWN, IL 62931-9787
(618) 518-0855
Mailing address
RR 2 BOX 150A, ELIZABETHTOWN, IL 62931-9787
(618) 518-0855
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.075268
IL
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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