Individual
JEANNIE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
155 MARTIN ST, PATERSON, NJ 07501-3659
(973) 626-6960
Mailing address
PO BOX 2011, CLIFTON, NJ 07015-2011
(973) 626-6960
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18K01036600
NJ
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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