Individual
GINA TITUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
479 W 6TH ST STE 204, SAN PEDRO, CA 90731-2657
(310) 569-8266
Mailing address
PO BOX 6084, SAN PEDRO, CA 90734-6084
(310) 569-8266
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3351
CA
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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