Individual
ALEXIS VANWYHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
618 DIVISION ST, DIXON, IL 61021-4103
(815) 934-9662
Mailing address
618 DIVISION ST, DIXON, IL 61021-4103
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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