Individual
DAWN VIOLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S 14TH ST, HERRIN, IL 62948-3631
(618) 942-2171
Mailing address
5029 TACOMA LAKE RD, CARBONDALE, IL 62902-2500
(618) 534-3421
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041363891
IL
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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