Individual
LUZ DEL CARMEN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11640 NORMAN MONTION DR, EL PASO, TX 79936-0710
(915) 849-1603
Mailing address
11640 NORMAN MONTION DR, EL PASO, TX 79936-0710
(915) 849-1603
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
LHOC19-00007
TX
Other
Enumeration date
10/23/2017
Last updated
08/08/2021
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