Individual
CHRISTINE MARIE MILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 E LINCOLNWAY, VALPARAISO, IN 46383
(219) 776-6834
Mailing address
63 GASLITE PARK, HEBRON, IN 46341-8719
(219) 776-6834
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21505424
IN
Other
Enumeration date
11/13/2023
Last updated
09/04/2024
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