Individual
IRASEMA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2609 NESSUH AVE, EDINBURG, TX 78541-4814
(956) 630-1116
(956) 630-1250
Mailing address
4002 SAN ESTEBAN CT, MISSION, TX 78572-7554
(956) 432-8611
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
164210
TX
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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