Individual
CONCEPTION P GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT/LMT
Contact information
Practice address
9573 SHORE DR, NORFOLK, VA 23518-1722
(808) 600-1771
Mailing address
3807 FLOWERFIELD RD APT A, NORFOLK, VA 23518-4700
(808) 600-1771
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018555
VA
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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