Individual
DESIRAE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11806 N 87TH AVE, PEORIA, AZ 85345-8125
(928) 230-5201
Mailing address
11806 N 87TH AVE, PEORIA, AZ 85345-8125
(928) 230-5201
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
253550
AZ
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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