Individual
MR. ALEX GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 VINTAGE DR APT 14, KENNER, LA 70065-5666
(504) 273-3410
Mailing address
1720 VINTAGE DR APT 14, KENNER, LA 70065-5666
(504) 273-3410
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
972GLS
LA
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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