Individual
RAUL ALEJANDRO GONZALEZ DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13911 RUSSELL ST APT 111, OVERLAND PARK, KS 66223-2603
(972) 330-1870
Mailing address
13911 RUSSELL ST APT 111, OVERLAND PARK, KS 66223-2603
(972) 330-1870
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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