LATERRCKA FARRIS

DECATUR, IL
NPI1144766718
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Additional Taxonomies376K00000X Nurse's Aide
Enumeration Date2017-01-06
Last Update Date2017-01-06
Business Address
-- LATERRCKA FARRIS
652 W OLIVE ST
DECATUR, IL 62526-4055
Phone number: 217-358-6541
Mailing Address
-- LATERRCKA FARRIS
652 W OLIVE ST
DECATUR, IL 62526-4055
Phone number: 217-358-6541
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