Individual
HOLLY ANNA WASMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
620 N LOGAN AVE, DANVILLE, IL 61832-4362
(217) 442-1900
(217) 442-1765
Mailing address
620 N LOGAN AVE, DANVILLE, IL 61832-4362
(217) 442-1900
(217) 442-1765
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3075
IL
Other
Enumeration date
08/15/2012
Last updated
04/10/2020
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