Individual
JULIE MARIE WACHTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 E WALNUT ST, CARBONDALE, IL 62901-5000
(618) 529-2471
Mailing address
362 TIMBER TRAIL DR, MURPHYSBORO, IL 62966-6150
(618) 559-3067
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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