Individual
STEPHANIE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2712 FORGUE DR, SUITE 100, NAPERVILLE, IL 60564-4194
(630) 922-7777
Mailing address
595 DECLARATION LN, AURORA, IL 60502-7344
(630) 806-5471
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227013325
IL
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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