Individual
ASTI GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 KENTUCKY ST SE, ALBUQUERQUE, NM 87108-4943
(909) 549-6034
Mailing address
1112 KENTUCKY ST SE, ALBUQUERQUE, NM 87108-4943
(909) 549-6034
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
F1501432
CA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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