Individual
JENNIFER STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 S 5TH ST STE 202, SAINT CHARLES, IL 60174-2700
(630) 945-3867
Mailing address
210 S 5TH ST STE 202, SAINT CHARLES, IL 60174-2700
(630) 945-3867
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.012757
IL
Other
Enumeration date
06/08/2011
Last updated
01/22/2020
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