Individual
AMBER NICOLE BIANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
265 STONEGATE ROAD, ALGONQUIN, IL 60102
(224) 800-5875
Mailing address
265 STONEGATE ROAD, ALGONQUIN, IL 60102
(224) 800-5875
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.018801
IL
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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