Individual
PEDRO EMMANUEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1429 COLLEGE AVE STE A2, MODESTO, CA 95350-4046
(209) 495-1565
Mailing address
1429 COLLEGE AVE STE A2, MODESTO, CA 95350-4046
(209) 495-1565
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
98575
CA
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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