Individual
COURTNEY RENEE MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1104 N VERMILION ST, DANVILLE, IL 61832-3094
(217) 442-2631
Mailing address
1104 N VERMILION ST, DANVILLE, IL 61832-3094
(217) 442-2631
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011713
IL
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
08/29/2022
Last updated
02/21/2023
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