Individual
ADILENE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8350 W GRANDRIDGE BLVD STE 100, KENNEWICK, WA 99336-1678
(509) 737-1400
(509) 737-1406
Mailing address
8350 W GRANDRIDGE BLVD STE 100, KENNEWICK, WA 99336-1678
(509) 737-1400
(509) 737-1406
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60986899
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60986899
STATE LICENSE
WA
Enumeration date
01/10/2020
Last updated
02/08/2021
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