Individual
MARLAINA FELICE REEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N CHARLES ST, BELLEVILLE, IL 62221-4858
(618) 660-6505
(618) 236-2873
Mailing address
1400 N CHARLES ST, BELLEVILLE, IL 62221-4858
(618) 660-6505
(618) 236-2873
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
041.297506
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467590166
—
IL
Enumeration date
09/11/2018
Last updated
09/11/2018
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