Individual
MICHELLE ANNETTE MORNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN LMT
Contact information
Practice address
209 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3966
(217) 359-6575
Mailing address
315 FLORA DR, CHAMPAIGN, IL 61821-3210
(217) 359-6575
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.007337
IL
Other
Enumeration date
08/15/2010
Last updated
08/15/2010
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