Individual
MS. BIANCA GASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ROUND TABLE CT APT 204, FREDERICKSBURG, VA 22406-6414
(540) 848-0365
Mailing address
100 ROUND TABLE CT APT 204, FREDERICKSBURG, VA 22406-6414
(540) 848-0365
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018318
VA
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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