Individual
CANDIDA MICHELLE COSENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
250 MAIN ST, SUGAR GROVE, IL 60554-5443
(844) 762-0735
Mailing address
2575 SURREY CT, AURORA, IL 60506-4447
(331) 806-6094
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.022776
IL
225700000X
Massage Therapist
MT22207844
IN
Other
Enumeration date
11/17/2022
Last updated
10/06/2023
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