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Individual

VIRGINIE NYANCHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1336 COURT LEONA, HANOVER PARK, IL 60133-5419
(331) 245-7799
Mailing address
1336 COURT LEONA, HANOVER PARK, IL 60133-5419
(331) 245-7799

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
041.407587
IL
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
041.407587
IL

Other

Enumeration date
05/25/2018
Last updated
05/25/2018
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