MRS. Lola Herndon
NPI #1497354104 in Belleville, Illinois
Provider Information
- NPI Number
- 1497354104
- Entity Type
- Individual
- Name
- MRS. Lola Herndon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Oct 22, 2020
- Last Updated
- Nov 10, 2020
Practice Location
- Address
- 844 WILSHIRE DR
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62223-2623
- Phone
- (314) 380-4202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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