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Individual

DANIEL GONZALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2430 NW MYHRE RD STE 101, SILVERDALE, WA 98383-7669
(360) 865-0263
Mailing address
2430 NW MYHRE RD STE 101, SILVERDALE, WA 98383-7669
(360) 865-0263

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/17/2018
Last updated
10/17/2018
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