Individual
MOLLY ANN FRESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6020 BROADWAY ST, QUINCY, IL 62305-7919
(317) 224-3366
(217) 221-6191
Mailing address
6020 BROADWAY ST, QUINCY, IL 62305-7919
(317) 224-3366
(217) 221-6191
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043088690
IL
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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