LA TONYA ANDERSON

SOUTH HOLLAND, IL
NPI1710580618
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: IL  209022426)
Enumeration Date2020-11-21
Last Update Date2020-11-21
Business Address
LA TONYA ANDERSON APRN
956 E 152ND ST
SOUTH HOLLAND, IL 60473-1142
Phone number: 773-354-5656
Mailing Address
LA TONYA ANDERSON APRN
956 E 152ND ST
SOUTH HOLLAND, IL 60473-1142
Phone number: 773-354-5656
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