Individual
GENESIS A. GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 ARVILLE ST APT B4, LAS VEGAS, NV 89102-5742
(702) 505-5126
Mailing address
2600 ARVILLE ST APT B4, LAS VEGAS, NV 89102-5742
(702) 505-5126
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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