Individual
VICTORIA EUGENIA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 SHADY LN, CORAM, NY 11727-3718
(631) 559-2603
Mailing address
21 SHADY LN, CORAM, NY 11727-3718
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/10/2020
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