Individual
MS. EULONDA MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7435 MADISON ST, FOREST PARK, IL 60130-1542
(708) 613-5255
(708) 290-7434
Mailing address
7435 MADISON ST, FOREST PARK, IL 60130-1542
(708) 613-5255
(708) 290-7434
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227022063
IL
Other
Enumeration date
12/04/2021
Last updated
12/04/2021
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