Individual
GABRIELLE CODIANNI-RETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
349 N MINNEWAWA AVE, CLOVIS, CA 93612-0208
(559) 666-3411
Mailing address
1700 E BULLARD AVE, FRESNO, CA 93710-5866
(559) 666-3411
(559) 438-8307
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
84207
CA
225700000X
Massage Therapist
—
—
Other
Enumeration date
02/22/2022
Last updated
02/13/2024
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