Individual
MISHAN TALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
814 W SOUTH ST APT 2D, PLANO, IL 60545-1785
(630) 301-9020
Mailing address
814 W SOUTH ST APT 2D, PLANO, IL 60545-1785
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227014154
IL
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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