Individual
MR. SLAVA SHUL
Active
Individual
MR. SLAVA SHUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.008489
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227.008489
ILLINOIS DEPARTMENT OF FINANCIAL AND PREFESSIONAL REGULATION
IL
Enumeration date
04/13/2015
Last updated
04/13/2015
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