Individual
MARCO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
15790 DOOLEY RD STE 200, ADDISON, TX 75001-5722
(785) 307-3384
Mailing address
12508 FAIR LN, FRISCO, TX 75036-3728
(785) 307-3384
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT133361
TX
Other
Enumeration date
04/18/2020
Last updated
04/18/2020
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