Individual
MRS. JEANNIE THRASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 N 8TH ST, PEKIN, IL 61554-1547
(309) 382-6404
Mailing address
1704 GINGOTEAGUE WAY, PEKIN, IL 61554-6481
(309) 267-5792
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020.007653
IL
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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