Individual
MRS. JERIEL MARSENA QUARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1617 W JEFFERSON STREET, JOLIET, IL 60435
(815) 730-4200
Mailing address
1617 W JEFFERSON ST, JOLIET, IL 60435-6724
(815) 730-4200
(815) 730-4224
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043-055935
IL
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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