JAMIE LYNN FRED

JOHNSTON CITY, IL
NPI1982888343
Former NameJAMIE LYNN CARTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043084871)
Enumeration Date2007-12-20
Last Update Date2007-12-20
Business Address
Mrs. JAMIE LYNN FRED LPN
119 GAS PLANT ROAD REA CLINIC-DUQUOIN
JOHNSTON CITY, IL 62951
Phone number: 618-542-8702
Mailing Address
Mrs. JAMIE LYNN FRED LPN
PO BOX 155 REA CLINIC
CHRISTOPHER, IL 62822
Phone number: 618-724-2401