Individual
MESHA RENA BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 RENAISSANCE BLVD, OAKBROOK TERRACE, IL 60181-4800
(331) 262-0101
Mailing address
410 RENAISSANCE BLVD, OAKBROOK TERRACE, IL 60181-4800
(331) 262-0101
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227013953
IL
Other
Enumeration date
09/12/2020
Last updated
09/12/2020
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