Individual
MIKALA M DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
548 SHERMAN AVE APT 3, EVANSTON, IL 60202-5309
(847) 845-6540
Mailing address
548 SHERMAN AVE APT 3, EVANSTON, IL 60202-5309
(847) 845-6540
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227005396
IL
Other
Enumeration date
10/26/2019
Last updated
10/26/2019
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