Individual
ANNIE L MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26W341 BUD CT, WHEATON, IL 60187-2921
(331) 575-4084
Mailing address
26W341 BUD CT, WHEATON, IL 60187-2921
(331) 575-4084
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227-007736
IL
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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