Individual
CHERRY DRUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
(618) 997-8214
Mailing address
140 IRVIN RD, CARRIER MILLS, IL 62917-2270
(618) 841-5210
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043078003
IL
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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