Individual
CHRISTINA RAE SISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 FLORA AVE, FLORA, IL 62839-2241
(618) 572-0380
Mailing address
333 FLORA AVE, FLORA, IL 62839-2241
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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