Individual
LEONEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5160 INDIAN RIVER DR, LAS VEGAS, NV 89103-7451
(786) 300-2641
Mailing address
5160 INDIAN RIVER DR, LAS VEGAS, NV 89103-7451
(786) 300-2641
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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