Individual
HALEY NICOLE RAMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1103 W MAIN ST, SALEM, IL 62881-1307
(618) 548-0100
Mailing address
1200 W DEYOUNG ST, MARION, IL 62959-4437
(618) 993-5686
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011676
IL
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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