Individual
GINA WAEL GHATTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9033 BASELINE RD STE N, RANCHO CUCAMONGA, CA 91730-1215
(909) 296-5105
Mailing address
9033 BASELINE RD STE N, RANCHO CUCAMONGA, CA 91730-1215
(909) 296-5105
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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