Individual
MRS. STEPHANIE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12241 ACADEMY RD NE STE 204, ALBUQUERQUE, NM 87111
(505) 938-4214
(505) 944-7720
Mailing address
12241 ACADEMY RD NE STE 204, ALBUQUERQUE, NM 87111
(505) 938-4214
(505) 944-7720
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NM
Other
Enumeration date
05/06/2014
Last updated
05/18/2016
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