Individual
ALICIA LYNN GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
10180 SE WAVERLY CT APT 47, MILWAUKIE, OR 97222-3416
(406) 781-7579
Mailing address
10180 SE WAVERLY CT APT 47, MILWAUKIE, OR 97222-3416
(406) 781-7579
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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