Individual
LADUCHESS COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6506 N FROSTWOOD PKWY, PEORIA, IL 61615-2412
(309) 877-2051
Mailing address
6506 N FROSTWOOD PKWY, PEORIA, IL 61615-2412
(309) 877-2051
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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