Individual
MR. GERALD GRANT GWIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
10513 SILVERDALE WAY NW, SUITE 101, SILVERDALE, WA 98383-9499
(360) 698-4411
Mailing address
5448 NW WESTGATE RD, SILVERDALE, WA 98383-6834
(360) 229-9882
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60308827
WA
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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