Radical Roots Clinic LLC

NPI #1629737150 in Arthur, Illinois

Provider Information

NPI Number
1629737150
Entity Type
Organization
Organization Name
Radical Roots Clinic LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Dec 13, 2021
Last Updated
May 30, 2022

Practice Location

Address
2046 JONATHAN CREEK RD
City
Arthur
ZIP Code
61911-6108
Phone
(765) 267-1177

Authorized Official

Name
JESSICA ALFORD, APRN
Title
OWNER
Phone
(765) 267-1177

Specialties & Taxonomy Codes

Specialty
Social Worker
Nurse Practitioner

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