Individual
MS. GINA LYNNE CARLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4300 KING ST, ALEXANDRIA, VA 22302-1503
(703) 933-9333
(703) 820-0755
Mailing address
4300 KING ST, ALEXANDRIA, VA 22302-1503
(703) 933-9333
(703) 820-0755
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019008942
VA
225700000X
Massage Therapist
12315
CA
225700000X
Massage Therapist
M04369
MD
225700000X
Massage Therapist
MT1472
DC
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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