Gerald Gardin

NPI 1316185069 - Massage Therapist - 225700000X

NPI Details
NPI 1316185069
Gender Male
Enumeration Date 02/02/2009
Last Updated 02/02/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
16121 W WINSLOW AVE
GOODYEAR AZ, 85338-9460, US
Phone (623) 687-7271
Fax
Business Location
16121 W WINSLOW AVE
GOODYEAR AZ, 85338-9460, US
Phone (623) 687-7271
Fax
Toxanomy
Taxonomy Code 225700000X
License State Arizona
License Number MT01750P
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According to our database, Gerald Gardin NPI is 1316185069, taxonomy code is 225700000X and license number is MT01750P, license state is located at Arizona. Gerald Gardin physically located at 16121 W Winslow Ave, Goodyear AZ, 85338-9460. NPI Number Gerald Gardin has the Individual type.

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1316185069 NPI number is provided on an as is basis without warranty of any kind. 1316185069 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald Gardin are for informational purposes only.