Anastasia Kovalaske RN

NPI 1790118586 - Specialist/Technologist, Other - 246ZS0410X

NPI Details
NPI 1790118586
Gender Female
Enumeration Date 08/15/2013
Last Updated 08/15/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1604 VISA DR
STE. 2
NORMAL IL, 61761-2195, US
Phone (309) 846-4716
Fax (309) 454-7348
Business Location
1604 VISA DR
STE. 2
NORMAL IL, 61761-2195, US
Phone (309) 846-4716
Fax (309) 454-7348
Toxanomy
Taxonomy Code 246ZS0410X
License State Illinois
License Number 041.361357
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According to our database, Mrs. Anastasia Kovalaske RN NPI is 1790118586, taxonomy code is 246ZS0410X and license number is 041.361357, license state is located at Illinois. Anastasia Kovalaske RN physically located at 1604 Visa Dr, Normal IL, 61761-2195. NPI Number Anastasia Kovalaske RN has the Individual type.

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1790118586 NPI number is provided on an as is basis without warranty of any kind. 1790118586 is maintained by the National Plan & Provider Enumeration System. The contents of Anastasia Kovalaske RN are for informational purposes only.