TAVIA MARIE VITAL

ROCK ISLAND, IL
NPI1508145756
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WD0400X Registered Nurse, Diabetes Educator
(Licence: IL  041390337)
Enumeration Date2011-08-05
Last Update Date2011-08-05
Business Address
-- TAVIA MARIE VITAL RN, CDE
2560 24TH ST SUITE 102
ROCK ISLAND, IL 61201-5357
Phone number: 309-788-0014
Mailing Address
-- TAVIA MARIE VITAL RN, CDE
2560 24TH ST SUITE 102
ROCK ISLAND, IL 61201-5357
Phone number: 309-788-0014
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