Individual
JESSICA ANNE LANCASTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
130 FAIR ST, SYCAMORE, IL 60178-1640
(815) 895-2059
Mailing address
130 FAIR ST, SYCAMORE, IL 60178-1640
(815) 895-2059
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.016127
IL
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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