Individual
MISS GINA ENOCHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3105 LOMBARD AVE, EVERETT, WA 98201-4426
(360) 618-3141
Mailing address
3105 LOMBARD AVE, EVERETT, WA 98201-4426
(360) 618-3141
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00017481
WA
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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