Individual
DOREEN GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9150 MCMAHON BLVD NW, ALBUQUERQUE, NM 87114-5201
(505) 898-7986
Mailing address
9150 MCMAHON BLVD NW, ALBUQUERQUE, NM 87114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4342
NM
Other
Enumeration date
01/20/2015
Last updated
06/05/2021
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