Individual
LAURA CHRISTINE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 W BROADVIEW DR, SAN ANTONIO, TX 78228-2824
(210) 521-4244
(210) 265-5063
Mailing address
142 W BROADVIEW DR, SAN ANTONIO, TX 78228-2824
(210) 521-4244
(210) 265-5063
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/01/2008
Last updated
03/10/2010
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