HOLLY VANNITAMBY

PEORIA, IL
NPI1053831214
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036150954)
Enumeration Date2017-06-20
Last Update Date2020-07-27
Business Address
HOLLY VANNITAMBY DO
6339 N BIG HOLLOW RD
PEORIA, IL 61615-2907
Phone number: 309-693-3315
Mailing Address
HOLLY VANNITAMBY DO
815 MAIN ST STE A
PEORIA, IL 61602-1080
Phone number: 309-672-4977
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