Individual
GINA SCIANIMANICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 S WICKHAM RD, WEST MELBOURNE, FL 32904-1134
(321) 327-8741
Mailing address
240 S WICKHAM RD, WEST MELBOURNE, FL 32904-1134
(321) 327-8741
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
45474
FL
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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