Individual
MARISA DANIELLE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLS(ASCP)
Contact information
Practice address
520 MADISON OAK DR, SAN ANTONIO, TX 78258-3913
(210) 297-4700
Mailing address
606 GOULD ST, SAN ANTONIO, TX 78207-2733
(210) 373-1262
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
266158
TX
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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