BRANDE RUSKUSKY

PEORIA, IL
NPI1972837862
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: IL  209.007763)
Enumeration Date2009-09-24
Last Update Date2009-09-24
Business Address
Mrs. BRANDE RUSKUSKY CNM, APN
1111 E MELBOURNE AVE
PEORIA, IL 61603-2027
Phone number: 309-258-3216
Mailing Address
Mrs. BRANDE RUSKUSKY CNM, APN
1111 E MELBOURNE AVE
PEORIA, IL 61603-2027
Phone number: 309-258-3216