Individual
JASMINE NATHALY GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4215 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7852
(469) 600-5351
Mailing address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(214) 687-0001
(972) 518-2100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
916317
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1136380
TX
Other
Enumeration date
12/19/2022
Last updated
11/06/2023
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