Individual
GINA D MASCORRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8131 W KLAMATH CT STE H, KENNEWICK, WA 99336-5251
(509) 736-5456
(509) 735-9868
Mailing address
4317 W 7TH AVE, KENNEWICK, WA 99336-4334
(509) 551-3231
(509) 735-9868
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61127571
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA61127571
MASSAGE THERAPIST
WA
Enumeration date
02/09/2021
Last updated
03/10/2026
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