Individual
KATIE YVONNE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
869 E AVALON ST, KUNA, ID 83634-2141
(208) 319-0205
(208) 319-0211
Mailing address
869 E AVALON ST, KUNA, ID 83634-2141
(208) 319-0205
(208) 319-0211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P9434
ID
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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