GINA MARIE MOORE

POCATELLO, ID
NPI1942771472
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: ID  MAS-3035)
Enumeration Date2018-12-10
Last Update Date2018-12-10
Business Address
GINA MARIE MOORE
151 N 4TH AVE STE A
POCATELLO, ID 83201-6300
Phone number: 208-226-4434
Mailing Address
GINA MARIE MOORE
1730 W QUINN RD TRLR 420
POCATELLO, ID 83202-2815
Phone number: 208-226-4434