Individual
CHRISTINA DENISE MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
305 MAPLE ST, ZEIGLER, IL 62999-1226
(618) 964-4078
Mailing address
305 MAPLE ST, ZEIGLER, IL 62999-1226
(618) 964-4078
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.123226
IL
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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