Individual
MARIA LOURDES GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1549 PRADO DEL SOL DR, EL PASO, TX 79936-6205
(915) 256-4980
Mailing address
1549 PRADO DEL SOL DR, EL PASO, TX 79936-6205
(915) 256-4980
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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