Individual
JUANPAULO EMIRO GOMEZ GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6518 PARSONS BLVD APT 4B, FRESH MEADOWS, NY 11365-4566
(646) 737-6441
Mailing address
6518 PARSONS BLVD APT 4B, FRESH MEADOWS, NY 11365-4566
(646) 737-6441
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032494
NY
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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