NPI 1982256764

Crystal Donielle Gingras

Practitioner Massage Therapist Agana Heights, GU

Practice location

Address: 382 Tai Gigao Rd, Agana Heights, GU 96910-6133
Phone: (671) 788-1980
Mailing address: PO Box 4301, Hagatna, GU 96932-8301

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 13-201401340-001 (GU)

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Registry record

NPI: 1982256764
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jul 2019
Record last updated: 12 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.