Individual
MICHAEL BENJAMEN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
3970 ARIZONA ST APT 4, SAN DIEGO, CA 92104-8815
(408) 887-3597
Mailing address
3970 ARIZONA ST APT 4, SAN DIEGO, CA 92104-8815
(408) 887-3597
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
46475
CA
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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