Individual
ALICE MARIE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3115 KIOWA BLVD N, LAKE HAVASU CITY, AZ 86404-1501
(928) 812-1308
Mailing address
3115 KIOWA BLVD N, LAKE HAVASU CITY, AZ 86404-1501
(928) 812-1308
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN045395
AZ
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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