Individual
BIANCA S GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
336 MOON ST NE, ALBUQUERQUE, NM 87123-1152
(505) 347-0304
Mailing address
336 MOON ST NE, ALBUQUERQUE, NM 87123-1152
(505) 347-0304
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
NM
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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