Individual
EVALINE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1519 12TH AVE, SCOTTSBLUFF, NE 69361-2621
(308) 672-4614
Mailing address
1519 12TH AVE, SCOTTSBLUFF, NE 69361-2621
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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