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GINA WINTER SLATER MASSAGE THERAPIST
>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1588009401
Individual Registrant: GINA WINTER SLATER MASSAGE THERAPIST
Gender: F
Sole Proprietor
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
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
Tel: 707-621-2036 Fax: 707-274-9935
Registration Information:
NPI: 1588009401
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist | CA | 001689 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
