LACHETTA BROADWAY

KENOSHA, WI
NPI1982459053
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: WI  12380-146)
Enumeration Date2024-04-22
Last Update Date2024-04-22
Business Address
LACHETTA BROADWAY
520 58TH ST STE 106
KENOSHA, WI 53140-4114
Phone number: 262-551-1317
Mailing Address
LACHETTA BROADWAY
2401 2ND ST
KENOSHA, WI 53140-1052
Phone number: 262-551-1317
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