MS. Destine Nicole Haley, LMT

NPI #1053913848 in Richmond, Illinois

Provider Information

NPI Number: 1053913848
Entity Type: Individual
Name: MS. Destine Nicole Haley, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Nov 16, 2020
Last Updated: Nov 16, 2020

Practice Location

Address: 170 CUNAT BLVD APT 3D
City: Richmond
State: Illinois
ZIP Code: 60071-8964
Phone: (228) 343-9641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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