Individual
AIDA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
13832 N 32ND ST STE 134, PHOENIX, AZ 85032-5643
(602) 348-1079
Mailing address
16035 N 25TH AVE, PHOENIX, AZ 85023-4112
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN171986
AZ
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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