Individual
GLENDA RENEE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
500 S DR EE DUNLAP ST, SAN DIEGO, TX 78384-3212
(361) 834-3526
Mailing address
500 S DR EE DUNLAP ST, SAN DIEGO, TX 78384-3212
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
138291
TX
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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