Individual
DIANA LESLIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
214 W MAIN ST, MOORESTOWN, NJ 08057-2345
(856) 372-0341
Mailing address
214 W MAIN ST, MOORESTOWN, NJ 08057-2345
(856) 372-0341
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01028400
NJ
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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