Individual
MICHELLE MONIQUE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10200 HERITAGE LN, GLEN ALLEN, VA 23060-3701
(209) 715-1741
(209) 715-1741
Mailing address
10200 HERITAGE LN, GLEN ALLEN, VA 23060-3701
(209) 715-1741
(209) 715-1741
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019020864
VA
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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