Individual
JANE ANN SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 W 1ST ST, DALLAS CITY, IL 62330-1153
(309) 337-5155
Mailing address
230 W 1ST ST, DALLAS CITY, IL 62330-1153
(309) 337-5155
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227002049
IL
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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