Individual
BRANDON TEJERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15412 S ROUTE 59, #118, PLAINFIELD, IL 60544-1979
(815) 267-6177
Mailing address
97 CORALBELL, ROMEOVILLE, IL 60446-3781
(224) 688-2126
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227016742
IL
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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