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Individual

ANDY M GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2019 ORCHARD AVE APT 4, LOS ANGELES, CA 90007-1276
(213) 703-0478
Mailing address
2019 ORCHARD AVE APT 4, LOS ANGELES, CA 90007-1276

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
44430
CA

Other

Enumeration date
09/24/2020
Last updated
09/24/2020
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