Individual
MS. MONIQUE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20140 JUNIPER AVE, LYNWOOD, IL 60411-6807
(773) 671-8210
Mailing address
20140 JUNIPER AVE, LYNWOOD, IL 60411-6807
(773) 671-8210
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21605946
IN
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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