Individual
MIRIAM RICSI-PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2046 JONATHAN CREEK RD, ARTHUR, IL 61911-6108
(217) 962-0614
Mailing address
104 STERLING CT APT 304, SAVOY, IL 61874-8012
(217) 328-7034
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227022986
IL
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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