Individual
M ANNETTE SHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 HICKORY PT, EAST PEORIA, IL 61611-1646
(309) 678-8516
Mailing address
102 HICKORY PT, EAST PEORIA, IL 61611-1646
(309) 678-8516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.223428
IL
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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