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Individual

MR. JON RICHARD GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RD, LD

Contact information

Practice address
26455 PALOMINO AVE, LA FERIA, TX 78559-4398
(956) 244-5670
Mailing address
26455 PALOMINO AVE, LA FERIA, TX 78559-4398
(956) 244-5670

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06050
TX

Other

Enumeration date
07/21/2012
Last updated
07/21/2012
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