Most Relevant Information
Provider Data
| NPI Number: | 1003050147 |
| Provider Name: | SALLY FLATER LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 043-085241 |
Most Important Dates
| Enumeration Date: | 04/20/2009 |
| Last Updated: | 04/20/2009 |
Provider Practice Location
2323 WINDISH DR
GALESBURG
IL
614019780
Practice Location Phone/Fax
| Phone: | 3093444248 |
| Fax: | 3093444368 |
Provider Mailing Location
2323 WINDISH DR
GALESBURG
IL
614019780
Provider Mailing Phone/Fax
| Phone: | 3093444248 |
| Fax: | 3093444368 |