Individual
TOMASINA DENISE BRUNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
205 E 6TH ST, PANA, IL 62557-1827
(217) 820-9280
Mailing address
PO BOX 354, PANA, IL 62557-0354
(217) 820-9280
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
272534
LA
164W00000X
Licensed Practical Nurse
Primary
—
IL
164X00000X
Licensed Vocational Nurse
228418
CA
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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