Individual
MS. ANGELICA LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5401 DOUGLAS AVE, RACINE, WI 53402
(262) 681-8829
(262) 681-8830
Mailing address
2011 DAWN LANE, ZION, IL 60099
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13695
WI
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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