Individual
GINA MARIE LASTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8613 OLD HARFORD RD, PARKVILLE, MD 21234-3931
(410) 663-9355
Mailing address
4221 SILVER SPRING RD, PERRY HALL, MD 21128-9652
(443) 857-7630
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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