Individual
LATANYA MICHELLE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2934 W 25TH ST APT A, CHICAGO, IL 60623-4176
(312) 799-0146
Mailing address
2934 W 25TH ST APT A, CHICAGO, IL 60623-4176
(312) 799-0146
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.016092
IL
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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