Individual
NATASHA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8235 S KINGSTON AVE, CHICAGO, IL 60617-1909
(773) 818-4821
Mailing address
8235 S KINGSTON AVE, CHICAGO, IL 60617-1909
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227008981
IL
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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