LOWELLA JEAN DOMENECH

VENEDY, IL
NPI1093383507
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2021-06-12
Last Update Date2021-06-12
Business Address
LOWELLA JEAN DOMENECH
132 W CHURCH ST
VENEDY, IL 62214-1254
Phone number: 618-824-6229
Mailing Address
LOWELLA JEAN DOMENECH
132 W CHURCH ST
VENEDY, IL 62214-1254
Phone number: 618-824-6229