Individual
TA'MEIKA BOATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
428 S 36TH ST, QUINCY, IL 62301-5924
(217) 224-6300
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
043128888
IL
164W00000X
Licensed Practical Nurse
Primary
43128888
IL
Other
Enumeration date
03/24/2021
Last updated
09/18/2024
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