Individual
MRS. TERRA DE PAOLO-GULLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9212 W SMITH ST, YORKTOWN, IN 47396-1225
(765) 729-5808
Mailing address
831 N JEFFERSON ST, MUNCIE, IN 47305-1427
(765) 810-7381
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT22408225
IN
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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