CORNEILIA L ERVINS

ROCKFORD, IL
NPI1285194712
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2019-03-21
Last Update Date2019-04-05
Business Address
CORNEILIA L ERVINS
5225 LINDEN RD APT 7207
ROCKFORD, IL 61109-6419
Phone number: 815-501-7711
Mailing Address
CORNEILIA L ERVINS
5225 LINDEN RD APT 7207
ROCKFORD, IL 61109-6419
Phone number: 815-501-7711