Individual
MARY SACHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
201 E NORTH AVE, FLORA, IL 62839-2030
(618) 662-8386
Mailing address
PO BOX 155, CHRISTOPHER, IL 62822-0155
(618) 724-2401
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043113894
IL
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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