Individual
MRS. LA FON ELLEN GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
151 CENTRAL MAIN ST, PUEBLO CITY COUNTY HEALTH DEPT., PUEBLO, CO 81003-4212
(719) 544-7435
(719) 583-4439
Mailing address
310 STARLITE DR, PUEBLO, CO 81005-2683
(719) 564-4667
(719) 583-4439
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
103271
CO
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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