Individual
MISS SANDRA M GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 N SAINT PAUL ST STE 3100, DALLAS, TX 75201-3923
(646) 389-3893
Mailing address
5147 S HARDING AVE, CHICAGO, IL 60632-3710
(773) 757-2768
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164006804
IL
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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