Individual
DR. ELISEO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
344 CLEVELAND AVE SE STE D, TUMWATER, WA 98501-3342
(253) 720-7192
Mailing address
344 CLEVELAND AVE SE STE D, TUMWATER, WA 98501-3342
(253) 720-7192
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH61033147
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH61033147
STATE LICENSURE
WA
Enumeration date
02/04/2020
Last updated
02/04/2020
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