Individual
MISS JOANNE RUTH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.AUD. CCC-A
Contact information
Practice address
4670 11TH ST, EAST MOLINE, IL 61244-4428
(309) 796-2500
(309) 796-2911
Mailing address
4670 11TH ST, EAST MOLINE, IL 61244-4428
(309) 796-2500
(309) 796-2511
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000591
IL
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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