Individual
ALANA BOLLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4802 S STATE ROUTE 159, GLEN CARBON, IL 62034-1904
(618) 288-4388
(618) 288-7660
Mailing address
1820 JEWEL SISSON DR UNIT 207, BELLEVILLE, IL 62223-3569
(618) 540-9912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.010693
IL
Other
Enumeration date
07/10/2024
Last updated
10/28/2024
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