Individual
LISETTE BELTRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14 N SANGAMON ST, CHICAGO, IL 60607-2658
(312) 612-9051
Mailing address
14643 SAWYER AVE, MIDLOTHIAN, IL 60445-3017
(708) 315-0140
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227016793
IL
Other
Enumeration date
01/05/2016
Last updated
06/04/2019
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