Individual
AYUMI E FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 HAIRPIN DR, EDWARDSVILLE, IL 62026-0001
(858) 361-7697
Mailing address
1803 E B ST, BELLEVILLE, IL 62221-4907
(858) 361-7697
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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