Individual
KYNISE K SLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3822 N KENNETH AVE APT 1, CHICAGO, IL 60641-5779
(312) 545-2692
Mailing address
3822 N KENNETH AVE APT 1, CHICAGO, IL 60641-5779
(312) 545-2692
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.015759
IL
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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