Individual
EARNESTINE MOORE CHOTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
6939 CONNER POINTE DR, FAIRVIEW HEIGHTS, IL 62208-2081
(618) 223-1020
Mailing address
6939 CONNER POINTE DR, FAIRVIEW HEIGHTS, IL 62208-2081
(618) 223-1020
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
2002030426
MO
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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