Individual
MS. GINA RENEE CHUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1871 NE 154TH AVE, WILLISTON, FL 32696-8648
(352) 213-6070
Mailing address
1871 NE 154TH AVE, WILLISTON, FL 32696-8648
(352) 213-6070
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA53056
FL
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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