Individual
MARIANA STEFANA HENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
559 W SURF ST APT 101, CHICAGO, IL 60657-6059
(773) 351-6009
Mailing address
559 W SURF ST APT 101, CHICAGO, IL 60657-6059
(773) 351-6009
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.022966
IL
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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