Individual
LUIS HERNANDO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7500 K JOHNSON BLVD, BORDENTOWN, NJ 08505-2242
(609) 599-5433
Mailing address
102 JACOBSTOWN NEW EGYPT RD, WRIGHTSTOWN, NJ 08562-2231
(718) 753-1334
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00438900
NJ
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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