Individual
LAURA ELIZABETH GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
960 W 5TH AVE, EUGENE, OR 97402-5106
(541) 870-8682
Mailing address
1310 W 24TH AVE, EUGENE, OR 97405-2173
(541) 870-8682
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19042
OR
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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