NPI 1649611385

Nelly Rathsamai

Practitioner Other Technician Rockford, IL

Practice location

Address: 6905 E State St, Rockford, IL 61108-2692
Phone: (815) 397-4142
Fax: (815) 397-4144
Mailing address: PO Box 6107, Rockford, IL 61125-1107

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Illinois →

Registry record

NPI: 1649611385
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2013
Record last updated: 10 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.