Individual
ANMARIE HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 S 14TH ST, HERRIN, IL 62948-3805
(618) 218-8103
Mailing address
609 S 14TH ST, HERRIN, IL 62948-3805
(618) 218-8103
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.102295
IL
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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