JERICA RENEE PATEK

O FALLON, IL
NPI1548890296
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146013718)
Enumeration Date2020-01-22
Last Update Date2020-01-22
Business Address
Miss JERICA RENEE PATEK
723 INSIGHT AVE STE 300
O FALLON, IL 62269-2193
Phone number: 618-607-0086
Mailing Address
Miss JERICA RENEE PATEK
524 GLENDALE DR
TROY, IL 62294-1766
Phone number: