Individual
PAULETTE JERONIMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4616 NEWCASTLE RD, ROCKFORD, IL 61108-7714
(815) 670-9957
Mailing address
4616 NEWCASTLE RD, ROCKFORD, IL 61108-7714
(815) 670-9957
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.012487
IL
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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