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Individual

CLEO G GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MASSAGE THERAPIST

Contact information

Practice address
85 NE LOOP 410, STE 214, SAN ANTONIO, TX 78216-5829
(210) 375-4408
(866) 381-5557
Mailing address
85 NE LOOP 410, STE 214, SAN ANTONIO, TX 78216-5829
(210) 375-4408
(866) 381-5557

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT124958
TX

Other

Enumeration date
05/23/2016
Last updated
05/23/2016
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