Individual
CYNTHIA GENRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
011.148061
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011.148061
COSMETOLOGIST
IL
Enumeration date
04/03/2019
Last updated
08/22/2024
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