Individual
GENEVIEVE INES SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
209 KEAYES AVE, EAST PEORIA, IL 61611-2748
(847) 951-5743
Mailing address
209 KEAYES AVE, EAST PEORIA, IL 61611-2748
(847) 951-5743
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001606
IL
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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