Individual
DAISY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1330 S POTOMAC ST, AURORA, CO 80012-4527
(303) 283-5991
Mailing address
1330 S POTOMAC ST, AURORA, CO 80012-4527
(303) 283-5991
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000181
CO
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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