Individual
DELIA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3079 ROUTE 715, HENRYVILLE, PA 18332-7778
(570) 699-9399
Mailing address
3079 ROUTE 715, HENRYVILLE, PA 18332-7778
(570) 699-9399
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
489628
NY
Other
Enumeration date
11/11/2012
Last updated
11/11/2012
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