Individual
EVA DE CORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1366 JANET ST, SYCAMORE, IL 60178-1053
(815) 517-7466
Mailing address
1366 JANET ST, SYCAMORE, IL 60178-1053
(815) 517-7466
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227019972
IL
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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