Individual
JOY L MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1306 E REBECCA LN, MACOMB, IL 61455-3408
(309) 255-4063
Mailing address
1306 E REBECCA LN, MACOMB, IL 61455-3408
(309) 255-4063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041320531
IL
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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