MRS. Mary J Wallin, L.P.N

NPI #1639408503 in Effingham, Illinois

Provider Information

NPI Number
1639408503
Entity Type
Individual
Name
MRS. Mary J Wallin, L.P.N
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
L.P.N
Enumeration Date
Dec 23, 2009
Last Updated
Dec 23, 2009

Practice Location

Address
300 N MAPLE ST
ZIP Code
62401-2003
Phone
(217) 342-4151

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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