Individual
MRS. GINA DENISE VINECOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
122 NE RIVERHILL DR, BELFAIR, WA 98528-9643
(360) 275-7474
Mailing address
122 NE RIVERHILL DR, BELFAIR, WA 98528-9643
(360) 275-7474
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00023353
WA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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