Individual
DANIELLE RENEE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLD
Contact information
Practice address
10400 VINEYARD BLVD STE B, OKLAHOMA CITY, OK 73120-3830
(405) 849-6375
Mailing address
3005 CACTUS DR, EDMOND, OK 73013-7933
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
796
OK
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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