Individual
MARITZA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
11255 SW 211TH STREET, MIAMI, FL 33189
(305) 278-0200
Mailing address
12210 SW 92ND ST, MIAMI, FL 33186-1910
(305) 896-0461
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
90137
FL
225700000X
Massage Therapist
Primary
MA90137
FL
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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