Individual
TANA RENEE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
130 TALAVERA PKWY APT 218, SAN ANTONIO, TX 78232-1064
(210) 557-7650
Mailing address
130 TALAVERA PKWY APT 218, SAN ANTONIO, TX 78232-1064
(210) 557-7650
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT111344
TX
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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