CHANDA BROCK

SWANSEA, IL
NPI1598050924
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MO  2005009072)
Enumeration Date2011-06-14
Last Update Date2011-06-14
Business Address
CHANDA BROCK LPN
10 EDWARDS DR APT 5
SWANSEA, IL 62226-8204
Phone number: 618-570-1401
Mailing Address
CHANDA BROCK LPN
10 EDWARDS DR APT 5
SWANSEA, IL 62226-8204
Phone number: 618-570-1401