Individual
SAMANTHA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 S 6TH AVE # 1-119, TUCSON, AZ 85723
(520) 792-1450
Mailing address
3601 S 6TH AVE # 1-119, TUCSON, AZ 85723-0001
(520) 792-1450
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
61082
TX
Other
Enumeration date
08/06/2017
Last updated
12/06/2019
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