Individual
ALLISON MARGRET MASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-9253
(217) 258-2229
(217) 258-2274
Mailing address
12551 N COUNTY ROAD 900E, HUMBOLDT, IL 61931-7825
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
041310202
IL
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-141086
IL
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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