Individual
MRS. AMANDA ELIZABETH RAGUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2604 W JOHNSBURG RD, JOHNSBURG, IL 60051-5105
(815) 578-1771
Mailing address
2604 W JOHNSBURG RD, JOHNSBURG, IL 60051-5105
(815) 578-1771
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.011839
IL
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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