Individual
MRS. LISA JANE KRUEMMELBEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 WEST ALTON STREET, BUNKER HILL, IL 62014
(618) 585-6920
(618) 585-6920
Mailing address
PO BOX 422, BUNKER HILL, IL 62014-0422
(618) 585-6920
(618) 585-6920
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227-005351
IL
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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