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Individual
MS. JUDITH ANN GONZALES
Active
Individual
MS. JUDITH ANN GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
G-079336
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G079336
IA
Other
Enumeration date
12/09/2010
Last updated
09/09/2025
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