Individual
MARY JANE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
819 W LAFAYETTE ST, WATSEKA, IL 60970-1081
(815) 432-1145
Mailing address
3044 E COUNTY HIGHWAY 31, DONOVAN, IL 60931-6031
(815) 429-3698
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
IL
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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