STEPHANIE NICHOLE RAFE

HERRIN, IL
NPI1184138422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043.124969)
Enumeration Date2017-11-23
Last Update Date2017-11-23
Business Address
Mrs. STEPHANIE NICHOLE RAFE LPN
201 S 17TH ST
HERRIN, IL 62948-2203
Phone number: 618-201-8943
Mailing Address
Mrs. STEPHANIE NICHOLE RAFE LPN
201 S 17TH ST
HERRIN, IL 62948-2203
Phone number: 618-201-8943