Individual
TERESA K GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2814 SALT PT, CONVERSE, TX 78109-3709
(210) 218-2635
Mailing address
2814 SALT PT, CONVERSE, TX 78109-3709
(210) 218-2635
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
674273
TX
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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