Individual
MS. OMEGA REBECCA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 N. BUTLER, STE 101 AND 102, FARMINGTON, NM 87401-5630
(505) 326-0064
Mailing address
3501 N BUTLER AVE STE AND102, FARMINGTON, NM 87401-6429
(505) 326-0064
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0491
NM
Other
Enumeration date
10/29/2007
Last updated
09/11/2008
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