LAVADA RAINIER SIMPSON

CENTRALIA, IL
NPI1780452235
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209028436041414056)
Enumeration Date2023-12-14
Last Update Date2023-12-14
Business Address
LAVADA RAINIER SIMPSON
1003 E MCCORD ST
CENTRALIA, IL 62801-3345
Phone number: 618-436-6633
Mailing Address
LAVADA RAINIER SIMPSON
1003 E MCCORD ST
CENTRALIA, IL 62801-3345
Phone number: 618-436-6633
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