Individual
SAMANTHA TIANNA SOMESKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4000 S WATER TOWER PL, MOUNT VERNON, IL 62864-2349
(618) 246-2910
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043089271
IL
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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