Individual
ILSE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 E SAUNDERS ST, LAREDO, TX 78041-5474
(956) 796-5000
Mailing address
3119 S MALINCHE AVE, LAREDO, TX 78046-7159
(956) 754-5267
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
807081
TX
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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