Individual
MRS. JENNIFER EVELYN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2268 GEORGETOWN CIR, AURORA, IL 60503-6729
(630) 290-8119
Mailing address
2268 GEORGETOWN CIR, AURORA, IL 60503-6729
(630) 290-8119
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
IL
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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