Gina Marie Moore
Gina Marie Moore is a Massage Therapist in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2018
Practice location Address checks out
151 N 4th Ave Ste APocatello, ID 83201-6300
Phone: (208) 226-4434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence MAS-3035 (ID) |
|---|
Record details
| NPI number | 1942771472 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 10, 2018 |
| Last updated in NPPES | December 10, 2018 |
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