Individual
SALLY GONZALES-APODACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.A.
Contact information
Practice address
1339 S PUEBLO BLVD, PUEBLO, CO 81005-1686
(719) 564-9400
(719) 564-0497
Mailing address
1080 CHINOOK LN, PUEBLO, CO 81001-1850
(719) 564-9400
(719) 564-0497
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
117
CO
Other
Enumeration date
01/19/2009
Last updated
01/23/2018
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