Individual
DEBRA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-7876
(480) 472-7878
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-7876
(480) 472-7878
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN060517
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
524274
—
AZ
Enumeration date
01/17/2006
Last updated
11/17/2014
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