MARY J WALLIN

EFFINGHAM, IL
NPI1639408503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043051122)
Enumeration Date2009-12-23
Last Update Date2009-12-23
Business Address
Mrs. MARY J WALLIN L.P.N
300 N MAPLE ST
EFFINGHAM, IL 62401-2003
Phone number: 217-342-4151
Mailing Address
Mrs. MARY J WALLIN L.P.N
P.O. BOX 1268 300 NORTH MAPLE STREET
EFFINGHAM, IL 62401
Phone number: 217-342-4151