Individual
GINA M GENCO ENDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14637 BLUE HERON DR, OCEAN VIEW, DE 19970-3617
(702) 280-9934
Mailing address
14637 BLUE HERON DR, OCEAN VIEW, DE 19970-3617
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2022705103
DE
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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