Individual
ERICA MARIA GONSALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1729 AVENUE I, SCOTTSBLUFF, NE 69361-2355
(308) 562-9928
Mailing address
1729 AVENUE I, SCOTTSBLUFF, NE 69361-2355
(308) 562-9928
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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