Individual
MRS. LONI LEEANN SHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 GOLF VIEW ACRES, RUSHVIEW, IL 62681
(217) 248-9994
Mailing address
14175 SCHUMAN RD, BROWNING, IL 62624
(217) 617-8220
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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