Individual
JONATHAN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
5714 LONETREE BLVD, ROCKLIN, CA 95765-3734
(916) 259-2510
Mailing address
5714 LONETREE BLVD, ROCKLIN, CA 95765-3734
(916) 259-2510
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
84599
CA
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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