Individual
MRS. TAYONON E GBALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT,OMT
Contact information
Practice address
918 S AUSTIN BLVD APT 2S, OAK PARK, IL 60304-2369
(708) 205-2363
Mailing address
918 S AUSTIN BLVD APT 2S, OAK PARK, IL 60304-2369
(708) 205-2363
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227003033
IL
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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