Individual
HEATHER JO GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
27 CIRCLE, ZEIGLER COMMUNITY HEALTH CENTER, ZEIGLER, IL 62999
(618) 596-2411
(618) 596-6559
Mailing address
PO BOX 155, REA CLINIC, CHRISTOPHER, IL 62822
(618) 724-2401
(618) 724-2571
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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