Individual
NESTOR A GONZALEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5219 WEST CLEARWATER AVENUE, SUITE 6, KENNEWICK, WA 99301
(509) 783-4454
(509) 783-6601
Mailing address
PO BOX 1323, PASCO, WA 99301
(509) 547-2204
(509) 542-8836
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00042850
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8385338
—
WA
Enumeration date
12/27/2005
Last updated
07/08/2007
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