CHRISTINA M FOMINA

ROCKFORD, IL
NPI1649760794
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: IL  070.023520)
Enumeration Date2018-05-15
Last Update Date2018-05-15
Business Address
CHRISTINA M FOMINA
5510 E STATE ST
ROCKFORD, IL 61108-2381
Phone number: 815-395-4570
Mailing Address
CHRISTINA M FOMINA
5510 E STATE ST
ROCKFORD, IL 61108-2381
Phone number: 815-395-4570
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