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Individual

MS. AISHIA MARIE PEARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
5113 S HARPER AVE STE 2C, CHICAGO, IL 60615-4119
(312) 488-1566
Mailing address
5113 S HARPER AVE STE 2C, CHICAGO, IL 60615-4119
(312) 488-1566

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227008759
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
227008759
I.D.F.P.R.
IL
Enumeration date
01/28/2019
Last updated
01/28/2019
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