Daniel Gonzalez BS

NPI 1679742159 - Community Health Worker - 172V00000X

NPI Details
NPI 1679742159
Gender Male
Enumeration Date 02/28/2008
Last Updated 08/21/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
820 HWY 478
ANTHONY NM, 88021, US
Phone (575) 882-5101
Fax (575) 882-2858
Business Location
P.O. BOX 2285
LAS CRUCES NM, 88004, US
Phone (575) 882-5101
Fax (575) 882-2858
Toxanomy
Taxonomy Code 172V00000X
License State
License Number
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According to our database, Daniel Gonzalez BS NPI is 1679742159, taxonomy code is 172V00000X Daniel Gonzalez BS physically located at 820 Hwy 478, Anthony NM, 88021. NPI Number Daniel Gonzalez BS has the Individual type.

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1679742159 NPI number is provided on an as is basis without warranty of any kind. 1679742159 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Gonzalez BS are for informational purposes only.