Individual
CRYSTAL DONIELLE GINGRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
382 TAI GIGAO RD, AGANA HEIGHTS, GU 96910-6133
(671) 788-1980
Mailing address
PO BOX 4301, HAGATNA, GU 96932-8301
(671) 788-1980
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13-201401340-001
GU
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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