Individual
GINA WINTER SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
7711 AL DR, GLENHAVEN, CA 95443-8409
(707) 621-2036
(707) 274-9935
Mailing address
7711 AL DR, GLENHAVEN, CA 95443-8409
(707) 621-2036
(707) 274-9935
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
001689
CA
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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