Provider Demographics
NPI:1275732901
Name:GASTON, CALI BELKNAP (RN, LAC)
Entity Type:Individual
Prefix:MRS
First Name:CALI
Middle Name:BELKNAP
Last Name:GASTON
Suffix:
Gender:F
Credentials:RN, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 THIRD STREET, NE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902
Mailing Address - Country:US
Mailing Address - Phone:434-960-8464
Mailing Address - Fax:434-973-1801
Practice Address - Street 1:420 THIRD STREET, NE
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902
Practice Address - Country:US
Practice Address - Phone:434-960-8464
Practice Address - Fax:434-973-1801
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000125171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist