Individual
MRS. RUTH LILLY GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 E HILLCREST PL, PEORIA, IL 61603-3321
(309) 685-5802
Mailing address
1311 E HILLCREST PL, PEORIA, IL 61603-3321
(309) 685-5802
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
04/27/2010
Last updated
01/05/2011
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