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Individual

RICHARD ALLEN GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4485 S BUFFALO DR # 1, LAS VEGAS, NV 89147-5006
(702) 888-6300
Mailing address
9620 W RUSSELL RD, LAS VEGAS, NV 89148-4502
(563) 676-4345

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/14/2025
Last updated
07/14/2025
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