Individual
GABRIELLE LUCIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
329 S MONTEZUMA ST, PRESCOTT, AZ 86303-4221
(530) 919-8269
Mailing address
5700 MARKET ST APT 2034, PRESCOTT VALLEY, AZ 86314-6522
(530) 919-8269
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-29399
AZ
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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