Individual
MRS. DEBRA JOY HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
462 MANCHESTER AVE., BATAVIA, IL 60510
(630) 430-4071
Mailing address
462 MANCHESTER AVE., BATAVIA, IL 60510
(630) 430-4071
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.006053
IL
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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