Organization
INCIPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE GONZALEZ CMT/LMT, CPT (OWNER)
(808) 269-0927
Entity
Organization
Contact information
Practice address
74140 EL PASEO, PALM DESERT, CA 92260-4147
(808) 269-0927
Mailing address
62821 KITETAIL DR, DESERT HOT SPRINGS, CA 92240-2052
(808) 269-0927
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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