Individual
ELIZABETH JEAN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
500 N MAIN ST, FREEBURG, IL 62243-1079
(618) 314-4774
Mailing address
500 N MAIN ST, FREEBURG, IL 62243-1079
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
2018029051
MO
225700000X
Massage Therapist
Primary
227006257
IL
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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