Individual
MANUEL G GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1820 W 53RD ST, APT 403, HIALEAH, FL 33012-2164
(786) 464-1943
(786) 464-1945
Mailing address
1820 W 53RD ST, APT 403, HIALEAH, FL 33012-2164
(786) 464-1943
(786) 464-1945
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 56130
FL
Other
Enumeration date
01/02/2010
Last updated
01/02/2010
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