Evangalista Gonzales FSS

NPI 1245563246 - Counselor - 101Y00000X

NPI Details
NPI 1245563246
Gender Female
Enumeration Date 09/09/2009
Last Updated 09/09/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
CLOVIS NM, 88101-3714, US
Phone (505) 742-2620
Business Location
PO BOX 28220
SANTA FE NM, 87592-8220, US
Phone (505) 471-5006
Fax (505) 820-9220
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Evangalista Gonzales FSS NPI is 1245563246, taxonomy code is 101Y00000X Evangalista Gonzales FSS physically located at 121 Townsgate Plz, Clovis NM, 88101-3714. NPI Number Evangalista Gonzales FSS has the Individual type.

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1245563246 NPI number is provided on an as is basis without warranty of any kind. 1245563246 is maintained by the National Plan & Provider Enumeration System. The contents of Evangalista Gonzales FSS are for informational purposes only.