Individual
MS. GINA M TACCONI-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1 FOUNDRY INDUSTRIAL PARK, BUILDING 2, LOWELL, MA 01852-5149
(978) 595-8982
Mailing address
1 FOUNDRY INDUSTRIAL PARK, BUILDING 2, LOWELL, MA 01852-5149
(978) 595-8982
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11673
MA
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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