Individual
MRS. ANGELA CONGIARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
713 VERMONT RD, CARTERVILLE, IL 62918-3193
(618) 694-3963
Mailing address
713 VERMONT RD, CARTERVILLE, IL 62918-3193
(618) 694-3963
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043090191
IL
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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