MS. Jacqueline Adele Moore, MT

NPI #1952655466 in Elgin, Illinois

Provider Information

NPI Number: 1952655466
Entity Type: Individual
Name: MS. Jacqueline Adele Moore, MT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MT
Enumeration Date: Nov 6, 2012
Last Updated: Nov 6, 2012

Practice Location

Address: 1048 SPINNAKER ST
City: Elgin
State: Illinois
ZIP Code: 60123-8587
Phone: (224) 628-2716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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