Individual
ENRIQUE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9 HAMMOND PLZ, BEACON, NY 12508-3139
(845) 375-7090
Mailing address
9 HAMMOND PLZ, BEACON, NY 12508-3139
(845) 375-7090
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026918
NY
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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