Individual
DOLORES T GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
516 EAST NIZHONI, GALLUP, NM 87301-6934
(505) 722-1000
Mailing address
PO BOX 1337, GALLUP, NM 87301-6934
(505) 722-1000
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R36698
NM
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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