Individual
WAINANI JEAN GILLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1523 N. ALAMO PLACE, TUCSON, AZ 85712
(520) 283-1970
Mailing address
1523 N ALAMO PL, TUCSON, AZ 85712-4356
(520) 283-1970
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-00720P
AZ
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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