Individual
MRS. MAGGIE ELIZABETH ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
6500 W MAIN ST STE 27, BELLEVILLE, IL 62223-3700
(618) 213-7133
Mailing address
6500 W MAIN ST STE 27, BELLEVILLE, IL 62223-3700
(618) 213-7133
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3002239
IL
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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