Individual
JESSICA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2046 JONATHAN CREEK RD, ARTHUR, IL 61911-6108
(217) 962-0614
Mailing address
2046 JONATHAN CREEK RD, ARTHUR, IL 61911-6108
(217) 962-0614
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227015675
IL
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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