Individual
WILSON AUDIN GONZALEZ RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HWY 160 M.P 394, KAYENTA, AZ 86033
(928) 697-4000
Mailing address
HWY 160 M.P 394, KAYENTA, AZ 86033
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
81202
PR
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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