Individual
MRS. JAMIE LYNN FRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
119 GAS PLANT ROAD, REA CLINIC-DUQUOIN, JOHNSTON CITY, IL 62951
(618) 542-8702
(618) 542-8792
Mailing address
PO BOX 155, REA CLINIC, CHRISTOPHER, IL 62822
(618) 724-2401
(618) 724-4628
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
IL
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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