Individual
MRS. TARA MARIE RENFROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
33 N COUNTY ST, SUITE 306, WAUKEGAN, IL 60085-4315
(224) 280-4385
Mailing address
33 N COUNTY ST, SUITE 306, WAUKEGAN, IL 60085-4315
(224) 280-4385
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.011162
IL
Other
Enumeration date
01/15/2011
Last updated
07/27/2016
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