Individual
CHRISTINA NICKIE SAYSAMPHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
1425 N MCLEAN BLVD STE 700, ELGIN, IL 60123-5724
(847) 695-0464
Mailing address
7 MARCIA CT, SOUTH ELGIN, IL 60177-3059
(847) 274-3214
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227014189
IL
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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