Individual
STEPHANIE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
3227 EL TOBOSO DR NW, ALBUQUERQUE, NM 87104-3059
(505) 252-7452
Mailing address
3227 EL TOBOSO DR NW, ALBUQUERQUE, NM 87104-3059
(505) 252-7452
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT00001723
NM
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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