Search › Arizona › 225700000X
Jacob Gonzalez, L.M.T
NPI 1417247172 · on the registry since 2011 · sole proprietor
Practice
- Address
- 133 Saguaro Dr
Lake Havasu City, AZ 86403 - Phone
- (928) 846-7845
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-04-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona