Lisa Gonzalez is a Massage Therapist based in San Diego, CA. Lisa Gonzalez practices in San Diego, CA. The NPI Number for Lisa Gonzalez is 1649663527 and holds a License No. 19498 (California).
The current practice location address for Lisa Gonzalez is 3446 Park Blvd, San Diego, CA and can be reached out via phone at 619-807-2130.
Location: 3446 Park Blvd, San Diego, CA, 92103-5209
Provider Profile Details
NPI Number
1649663527
Provider Name
Lisa Gonzalez
Credential
Provider Entity Type
Organization
Address
3446 Park Blvd, San Diego, CA, 92103-5209
Phone Number
619-807-2130
Fax Number
Provider Enumeration Date
03/16/2015
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U2298533104 | 01 | CA | SIGNA |
Provider Business Practice Location Address Details
Address
3446 Park Blvd
City
State
Zip
92103-5209
Phone Number
619-807-2130
Fax Number
Provider Business Mailing Address Details
Address
3446 Park Blvd
City
State
Zip
92103-5209
Phone Number
619-807-2130
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
19498 (California)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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