Individual
MARGARITA M GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 N KEENE WAY DR, MEDFORD, OR 97504-6253
(541) 500-8814
(541) 500-8813
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
(541) 858-8167
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
10/16/2019
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