Individual
MR. JAMES KEOKI FLORES PASCUAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, NCMT, MMP
Contact information
Practice address
285 SOUTHRIDGE DR, GURNEE, IL 60031-4426
(847) 340-6805
Mailing address
285 SOUTHRIDGE DR, GURNEE, IL 60031-4426
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.009891
IL
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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