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 8 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
Remove 1245563246 NPI Number

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.

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.