Individual
GINO AGOSTINELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
12205 E 12TH AVE, STE. 3, SPOKANE VALLEY, WA 99206-5461
(509) 891-1400
(509) 927-0082
Mailing address
12205 E 12TH AVE, STE. 3, SPOKANE VALLEY, WA 99206-5461
(509) 891-1400
(509) 927-0082
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00006069
WA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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