Individual
MR. PABLO M GONZAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9557 S 700 E STE 100, SANDY, UT 84070-3487
(801) 875-5198
Mailing address
8856 S SHADY MEADOW DR, SANDY, UT 84093-7004
(801) 875-5198
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14062990-4701
UT
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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