Individual
ALISHA GIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 S MARYLAND AVE, WILMINGTON, DE 19804-1665
(610) 790-3001
Mailing address
507 S MARYLAND AVE, WILMINGTON, DE 19804-1665
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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