Individual
MRS. GINA BETH BUSHELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOM, A.P.
Contact information
Practice address
808 DUNLAWTON AVE STE 3, PORT ORANGE, FL 32127-9284
(386) 767-7366
(386) 200-6263
Mailing address
808 DUNLAWTON AVE STE 3, PORT ORANGE, FL 32127-9284
(386) 767-7366
(386) 200-6263
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2623
FL
Other
Enumeration date
01/21/2009
Last updated
04/09/2021
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