LUCIA NICHOLE REYNOLDS

ROCKFORD, IL
NPI1922506005
Former NameLUCIA NICHOLE RUIZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: IL  220.014395)
Enumeration Date2018-01-24
Last Update Date2018-01-24
Business Address
LUCIA NICHOLE REYNOLDS LMT, BCTMB
2606 BROADWAY
ROCKFORD, IL 61108-5768
Phone number: 815-397-3744
Mailing Address
LUCIA NICHOLE REYNOLDS LMT, BCTMB
1210 COLONIAL DR
MACHESNEY PARK, IL 61115-3808
Phone number: 815-560-2862