Individual
EDELMIRA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
914 MILLENIUM AVE, MOXEE, WA 98936-8806
(509) 703-0208
Mailing address
914 MILLENIUM AVE, MOXEE, WA 98936-8806
(509) 703-0208
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/17/2015
Last updated
05/12/2017
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