Individual
NIDIA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMHC
Contact information
Practice address
1469 NW 36TH ST, MIAMI, FL 33142-5557
(305) 635-0366
Mailing address
5925 SW 94TH AVE, MIAMI, FL 33173-1570
(305) 761-2454
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9256021
FL
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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