Jara Bachtold

NPI #1770239675 in Normal, Illinois

Provider Information

NPI Number
1770239675
Entity Type
Individual
Name
Jara Bachtold
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Mar 1, 2022
Last Updated
Mar 1, 2022

Practice Location

Address
303 LANDMARK DR STE 2B
City
Normal
ZIP Code
61761-6164
Phone
(309) 808-2388

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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