Individual
MRS. LESLEY KERNS-WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
650 N PEACE RD STE C, SUITE C, DEKALB, IL 60115-8401
(815) 748-7236
Mailing address
650 N PEACE RD STE C, SUITE C, DEKALB, IL 60115-8401
(815) 748-7236
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227011696
IL
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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