Individual
ANNA GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1475 VISTA DEL RANCHO PKWY APT 233, SPARKS, NV 89436-6343
(775) 560-8876
Mailing address
1475 VISTA DEL RANCHO PKWY APT 233, SPARKS, NV 89436-6343
(775) 560-8876
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9977
NV
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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