THERESA DIANE HARVEY

ROCKFORD, IL
NPI1053576736
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
Enumeration Date2008-07-22
Last Update Date2008-07-22
Business Address
Mrs. THERESA DIANE HARVEY DT
2502 WHITMIRE DR
ROCKFORD, IL 61109-6732
Phone number: 815-873-1910
Mailing Address
Mrs. THERESA DIANE HARVEY DT
2502 WHITMIRE DR
ROCKFORD, IL 61109-6732
Phone number: 815-873-1910