CREA ROSE

SALEM, IL
NPI1366184053
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209.025104)
Enumeration Date2022-04-12
Last Update Date2022-11-23
Business Address
CREA ROSE
126 N HOTZE RD
SALEM, IL 62881-5237
Phone number: 618-495-4241
Mailing Address
CREA ROSE
1307 E MCCORD ST
CENTRALIA, IL 62801-3610
Phone number: 618-899-9200