Individual
DESTINEE MONET' COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
310 S GREENLEAF ST STE 208, GURNEE, IL 60031-5708
(847) 623-4100
Mailing address
2615 SUNSET AVE, WAUKEGAN, IL 60087-3610
(224) 733-5066
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227021315
IL
Other
Enumeration date
06/11/2022
Last updated
06/11/2022
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