Individual
JACQUELINE TENOR GIRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 W REYNOLDS ST, PONTIAC, IL 61764-9774
(815) 842-4955
Mailing address
303 N WALNUT ST, WENONA, IL 61377-7514
(815) 853-0014
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
041-291130
IL
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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