Individual
TERRI RAYMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9525 GOLD HILL RD, SHAWNEETOWN, IL 62984-3659
(618) 269-3815
Mailing address
4241 HIGHWAY 14 W, CHRISTOPHER, IL 62822-1037
(618) 724-2401
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043073817
IL
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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