Individual
CHELSEA CRETORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9465 N FRONTAGE LN, LAWRENCEVILLE, IL 62439-4417
(618) 320-0723
Mailing address
238 W CEDAR ST, SUMNER, IL 62466-1171
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
10/07/2017
Last updated
10/07/2017
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