Individual
ASHLEY RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
103 COMMERCE ST, CARMI, IL 62821-2223
(618) 384-5686
Mailing address
4241 HIGHWAY 14 W, CHRISTOPHER, IL 62822-1037
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043111489
IL
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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