Individual
JUAN CARLOS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER, MSC09-5030, ALBUQUERQUE, NM 87131-0001
(505) 272-5428
Mailing address
UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER, MSC09-5030, ALBUQUERQUE, NM 87131-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
08/13/2019
Last updated
04/20/2022
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