Provider Demographics
NPI:1861696361
Name:MUSETTI, GINA (LAC)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:MUSETTI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:460 ENA RD STE 603
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-1778
Mailing Address - Country:US
Mailing Address - Phone:808-349-0806
Mailing Address - Fax:888-315-1229
Practice Address - Street 1:460 ENA RD STE 603
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1778
Practice Address - Country:US
Practice Address - Phone:808-349-0806
Practice Address - Fax:888-315-1229
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI813171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist