Most Relevant Information
Provider Data
| NPI Number: | 1003364613 |
| Provider Name: | GINA MINUTILLO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/13/2016 |
| Last Updated: | 11/20/2020 |
Provider Practice Location
3480 BUSKIRK AVE STE 210
PLEASANT HILL
CA
945234304
Practice Location Phone/Fax
| Phone: | 9259332627 |
| Fax: |
Provider Mailing Location
3480 BUSKIRK AVE STE 210
PLEASANT HILL
CA
945234304
Provider Mailing Phone/Fax
| Phone: | 9259332627 |
| Fax: |