IVA WASHUM

PEORIA, IL
NPI1952847634
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043052637)
Enumeration Date2017-01-18
Last Update Date2017-01-18
Business Address
-- IVA WASHUM Lpn
211 FULTON ST STE 207
PEORIA, IL 61602-1347
Phone number: 309-671-8700
Mailing Address
-- IVA WASHUM Lpn
211 FULTON ST SUITE 207
PEORIA, IL 61602-1347
Phone number: 309-671-8700
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