Individual
LANA ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1012 GEORGIA DR, ELK GROVE VILLAGE, IL 60007-2930
(815) 403-8657
Mailing address
1012 GEORGIA DR, ELK GROVE VILLAGE, IL 60007-2930
(815) 403-8657
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227013811
IL
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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