MISS Takala B Fomond, LPN is a licensed practical nurse in Evanston, IL. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MISS Takala B Fomond, LPN NPI is 1215685565. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2916 CENTRAL ST # 2
EVANSTON, IL
ZIP 60201-212
Phone: (224) 420-6894
The enumeration date for this NPI number is 3/15/2022 and was last updated on 11/2/2023.