Individual
GILDA REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E HARRISON DR APT 203, AVONDALE, AZ 85323-2905
(623) 385-2167
Mailing address
525 E HARRISON DR APT 203, AVONDALE, AZ 85323-2905
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-25092
AZ
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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