Individual
JODI LYNN VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
114 E. BENTON ST., MORRIS, IL 60450
(815) 513-5643
Mailing address
114 E BENTON ST, MORRIS, IL 60450-1806
(815) 513-5643
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.081258
IL
Other
Enumeration date
12/12/2016
Last updated
03/02/2022
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