Individual
LOUIS FLORENTINE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
28K QUEEN MARY CT, CHESTER, MD 21619-2528
(301) 312-5243
Mailing address
28K QUEEN MARY CT, CHESTER, MD 21619-2528
(301) 312-5243
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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