Jennifer Desimone

NPI #1184023715 in Johnsburg, Illinois

Provider Information

NPI Number: 1184023715
Entity Type: Individual
Name: Jennifer Desimone
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Aug 20, 2014
Last Updated: Aug 20, 2014

Practice Location

Address: 2604 W JOHNSBURG RD
City: Johnsburg
State: Illinois
ZIP Code: 60051-5105
Phone: (815) 578-1771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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