Individual
HEAVEN MARIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
811 NORTH LOOP W, HOUSTON, TX 77008-1726
(346) 803-7435
Mailing address
201 SIDNEY ST, HOUSTON, TX 77003-2731
(346) 803-7435
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT138362
TX
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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