Ma R Difanis, NP

NPI #1851337109 in Champaign, Illinois

Provider Information

NPI Number
1851337109
Entity Type
Individual
Name
Ma R Difanis, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Jun 22, 2006
Last Updated
Nov 21, 2013

Practice Location

Address
1701 CURTIS RD
ZIP Code
61822-9678
Phone
(217) 365-6203

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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