Individual
GINA REALME AVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
311 CENTRAL AVE S, QUINCY, WA 98848-1227
(509) 398-3765
Mailing address
1018 ROCKY AVE NE, QUINCY, WA 98848-9380
(509) 398-3765
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASS.MA.61407276
WA
Other
Enumeration date
05/24/2023
Last updated
06/08/2023
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