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GINA WINTER SLATER MASSAGE THERAPIST

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1588009401

Individual Registrant:
 GINA  WINTER SLATER MASSAGE THERAPIST
Gender: F
Sole Proprietor

Location and contact information for practice:
7711 AL DR  GLENHAVEN, CA 95443-8409 US
Tel: 707-621-2036  Fax: 707-274-9935

Contact information for business:
7711 AL DR  GLENHAVEN, CA 95443-8409 US
Tel: 707-621-2036  Fax: 707-274-9935

Registration Information:
NPI: 1588009401
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
CA001689

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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