Individual
JAIME GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
969 WARWICK RD, EL PASO, TX 79907-3240
(915) 301-7307
Mailing address
969 WARWICK RD, EL PASO, TX 79907-3240
(915) 301-7307
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
345677
TX
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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