Individual
CONNIE FRANCES DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5481 S. CORNELL, CHICAGO, IL 60615
(773) 719-5645
Mailing address
5481 S. CORNELL, CHICAGO, IL 60615
(773) 719-5645
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227002746
IL
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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