Gina Maria Bongiorno, LMT

NPI #1982210761 in Imlay City, Michigan

Provider Information

NPI Number: 1982210761
Entity Type: Individual
Name: Gina Maria Bongiorno, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 17, 2020
Last Updated: Sep 17, 2020

Practice Location

Address: 6013 PRESTIGE DR
City: Imlay City
State: Michigan
ZIP Code: 48444-9661
Phone: (512) 749-8327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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