Individual
SHAQUITA RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6410 S LANGLEY AVE, APT 2, CHICAGO, IL 60637-3432
(773) 344-8353
Mailing address
6410 S LANGLEY AVE, APT 2, CHICAGO, IL 60637-3432
(773) 344-8353
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.019640
IL
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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