Most Relevant Information
Provider Data
| NPI Number: | 1003517525 |
| Provider Name: | BRITTANY LYNN MARIE MURRAY GRAD STUDENT |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/13/2023 |
| Last Updated: | 03/13/2023 |
Provider Practice Location
523 E MITCHELL ST
SALEM
IL
628813341
Practice Location Phone/Fax
| Phone: | 6183675599 |
| Fax: |
Provider Mailing Location
523 E. MITCHELL ST
SALEM
IL
62881
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |