Individual
MS. ANGEL COLLEEN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RECRATIONAL THERAPY
Contact information
Practice address
2595 S JONES BLVD, SUITE 2F, LAS VEGAS, NV 89146-0000
(702) 806-9143
Mailing address
7345 S DURANGO DR, LAS VEGAS, NV 89113-3653
(253) 365-0900
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
225800000X
Recreation Therapist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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