Individual
GEOFFREY GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10706 GAYLORD DR, SAN ANTONIO, TX 78224-2917
(210) 800-6742
Mailing address
10706 GAYLORD DR, SAN ANTONIO, TX 78224-2917
(210) 800-6742
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
125669
TX
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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