Individual
GENARO FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 E JUDD ST, WOODSTOCK, IL 60098-3422
(708) 704-6562
Mailing address
530 E JUDD ST, WOODSTOCK, IL 60098-3422
(708) 704-6562
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
32072
IL
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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