LISA MARIE FERNANDES

JACKSONVILLE, IL
NPI1265206692
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043077146)
Enumeration Date2023-11-07
Last Update Date2023-11-07
Business Address
Mrs. LISA MARIE FERNANDES LPN
1429 S. MAIN ST. DHS/DRS/HSD SUITE C
JACKSONVILLE, IL 62650
Phone number: 217-245-9585
Mailing Address
Mrs. LISA MARIE FERNANDES LPN
1429 S. MAIN ST. DHS/DRS/HSD SUITE C
JACKSONVILLE, IL 62650
Phone number: 217-245-9585
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