Individual
MRS. CARMEN C GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14785 SW 97TH TER, MIAMI, FL 33196-1648
(786) 474-5638
Mailing address
14785 SW 97TH TER, MIAMI, FL 33196-1648
(786) 474-5638
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA55558
FL
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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