Individual
ITZMI SAMANTHA GONZALEZ- SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 S PLAZA DR STE 214, SAINT PAUL, MN 55120-1505
(651) 406-4454
Mailing address
750 S PLAZA DR STE 214, SAINT PAUL, MN 55120-1505
(651) 406-4454
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227021334
IL
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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