Individual
JACQUELINE NAKAMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5809 HILLSIDE RD, CRYSTAL LAKE, IL 60012-1827
(815) 477-8546
Mailing address
5809 HILLSIDE RD, CRYSTAL LAKE, IL 60012-1827
(815) 477-8546
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
2227013631
IL
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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