Individual
LATICIA N MAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3210 N NEW YORK AVE, PEORIA, IL 61603-1256
(309) 340-6771
Mailing address
3210 N NEW YORK AVE, PEORIA, IL 61603-1256
(309) 340-6771
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.022896
IL
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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