Individual
GWENDOLYN ABRAHAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6302 E MCKELLIPS RD, MESA, AZ 85215-2821
(602) 295-7828
Mailing address
PO BOX 273326, FORT COLLINS, CO 80527-3326
(866) 996-2772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT09144
AZ
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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