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Individual

LAVENDER KRISTY ZARRAGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
707 N LOGAN AVE, DANVILLE, IL 61832-4360
(217) 337-4310
Mailing address
2516 CLAYTON BLVD, CHAMPAIGN, IL 61822-2387
(217) 419-8958

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
209.028570
IL

Other

Enumeration date
01/08/2024
Last updated
01/23/2024
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