LISSA J DIEFENDORF

PEORIA, IL
NPI1427356336
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy364SA2200X Clinical Nurse Specialist, Adult Health
(Licence: IL  209008169)
Enumeration Date2011-03-02
Last Update Date2011-03-02
Business Address
Mrs. LISSA J DIEFENDORF APN
403 W CORRINGTON AVE
PEORIA, IL 61604-2803
Phone number: 309-222-5736
Mailing Address
Mrs. LISSA J DIEFENDORF APN
403 W CORRINGTON AVE
PEORIA, IL 61604-2803
Phone number: 309-222-5736
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