Individual
JING GAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4550 E BELL RD STE 284, PHOENIX, AZ 85032-9384
(480) 430-8610
(602) 595-8664
Mailing address
17641 N 41ST ST, PHOENIX, AZ 85032-9241
(480) 430-8610
(602) 595-8664
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-00428P
AZ
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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