Individual
JUANITA M HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4241 HWY 14 WEST, CHRISTOPHER, IL 62822
(618) 724-2436
(618) 724-2571
Mailing address
PO BOX 155, CHRISTOPHER, IL 62822-0155
(618) 724-2436
(618) 724-2571
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041342886
IL
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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