Individual
MELISSA ANN YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11531 SUNDERLAND RD, MARION, IL 62959-8274
(618) 964-5139
Mailing address
10669 TORRANCE RD, CARBONDALE, IL 62901-0648
(618) 944-0351
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.109390
IL
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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