Individual
AUTUMN GONZALEZ-BELCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
222 NEW HOPE RD, PRINCETON, WV 24740-2135
(304) 910-9880
Mailing address
213 DUSTY MILLER ST, PRINCETON, WV 24740-7666
(304) 910-9880
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2015-3335
WV
Other
Enumeration date
09/23/2015
Last updated
01/05/2021
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