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Cynthia Genrich, COSMETOLOGIST
Other Specialist/Technologist in Rockford, Illinois
NPI 1538621107

Cynthia Genrich is a Other Specialist/Technologist based in Rockford, IL. Cynthia Genrich practices in Rockford, IL and has the professional credentials of COSMETOLOGIST. The NPI Number for Cynthia Genrich is 1538621107 and holds a License No. 011.148061 (Illinois).

The current practice location address for Cynthia Genrich is 202 N Show Place Dr, Rockford, IL and can be reached out via phone at 815-332-3710 and via fax at 815-332-3407.

Location: 202 N Show Place Dr, Rockford, IL, 61108-4710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538621107
Provider Name
Cynthia Genrich
Credential
COSMETOLOGIST
Provider Entity Type
Individual
Gender
Female
Address
202 N Show Place Dr, Rockford, IL, 61108-4710
Phone Number
815-332-3710
Fax Number
815-332-3407
Provider Enumeration Date
04/03/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
011.148061 01 IL COSMETOLOGIST
institution
Provider Business Practice Location Address Details
Address
202 N Show Place Dr
City
Rockford
State
Illinois
Zip
61107-5351
Phone Number
815-332-3710
Fax Number
815-332-3407
person
Provider Business Mailing Address Details
Address
202 N Show Place Dr
City
Rockford
State
Illinois
Zip
61107-5351
Phone Number
815-332-3710
Fax Number
815-332-3407
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
011.148061 (Illinois)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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