Individual
MRS. RENEE J DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
26011 COMPASS RD, MONEE, IL 60449-8077
(708) 602-6750
Mailing address
PO BOX 415, MONEE, IL 60449-0415
(708) 602-6750
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227012600
IL
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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