JACOB BENJAMIN GONZALEZ

LAKE HAVASU CITY, AZ
NPI1417247172
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: AZ  MT-13311)
Enumeration Date2011-04-15
Last Update Date2011-04-15
Business Address
-- JACOB BENJAMIN GONZALEZ L.M.T.
133 SAGUARO DR
LAKE HAVASU CITY, AZ 86403-6657
Phone number: 928-846-7845
Mailing Address
-- JACOB BENJAMIN GONZALEZ L.M.T.
133 SAGUARO DR
LAKE HAVASU CITY, AZ 86403-6657
Phone number: