Individual
MELANIE LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3313 PATRIOT CT, HERRIN, IL 62948-3782
(618) 993-9910
(618) 993-2774
Mailing address
3313 PATRIOT CT, HERRIN, IL 62948-3782
(618) 993-9910
(618) 993-2774
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227012806
IL
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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