Individual
MRS. NANCY PATRICIA BRAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
554 FAIRFAX ST, COLUMBIA, IL 62236-1516
(618) 281-7442
Mailing address
554 FAIRFAX ST, COLUMBIA, IL 62236-1516
(618) 281-7442
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
2007006690
MO
225700000X
Massage Therapist
Primary
—
IL
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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