Individual
ALLEN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
602 E NOB HILL BLVD, YAKIMA, WA 98901-3534
(509) 248-3334
Mailing address
602 E NOB HILL BLVD, YAKIMA, WA 98901-3534
(509) 248-3334
(509) 453-6144
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61204841
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/25/2021
Last updated
03/16/2022
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