Individual
DIANE LYNN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2305 PATRIOT DR, LEXINGTON, NE 68850-1272
(308) 325-7119
Mailing address
1509 CONSTITUTION DR, LEXINGTON, NE 68850-1144
(308) 325-7119
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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