Individual
ALYSSA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
198 E ADAMS AVE, GALLUP, NM 87301-5163
(505) 471-4985
Mailing address
198 E ADAMS AVE, GALLUP, NM 87301-5163
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
85173
NM
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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