ROSE HENRY MARIETTE EBOH

WAUCONDA, IL
NPI1841948932
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.022553)
Enumeration Date2022-03-16
Last Update Date2022-09-15
Business Address
ROSE HENRY MARIETTE EBOH NP
431 W LIBERTY ST
WAUCONDA, IL 60084-2452
Phone number: 847-526-2151
Mailing Address
ROSE HENRY MARIETTE EBOH NP
PO BOX 6037
WAUCONDA, IL 60084-6037
Phone number: 847-526-2151
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