Search › Illinois › 164W00000X
Latrisha Dupree
NPI 1174257349 · on the registry since 2022 · sole proprietor
Practice
- Address
- 707 Saint Clair Ave
Belleville, IL 62220 - Phone
- (618) 363-3421
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois