ETINOSA ANN IDEMUDIA

URBANA, IL
NPI1992699094
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL  125.086201)
Enumeration Date2025-06-04
Last Update Date2025-06-04
Business Address
Dr. ETINOSA ANN IDEMUDIA MD
611 W PARK ST
URBANA, IL 61801-2501
Phone number: 217-383-4229
Mailing Address
Dr. ETINOSA ANN IDEMUDIA MD
5209 FOGGIA AVE
LAS VEGAS, NV 89130-7059
Phone number: 862-262-6012