Individual
LAURE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35694 N LAUREL AVE, INGLESIDE, IL 60041-9130
(224) 627-6913
Mailing address
35694 N LAUREL AVE, INGLESIDE, IL 60041-9130
(224) 627-6913
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227007779
IL
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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