Individual
LETICIA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 N KEATING AVE, CHICAGO, IL 60639-3334
(773) 676-4789
Mailing address
2310 N KEATING AVE, CHICAGO, IL 60639-3334
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227017054
IL
Other
Enumeration date
09/07/2020
Last updated
09/07/2020
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