Individual
ERIKA M GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4030 HIGHWAY 6 S STE 150, COLLEGE STATION, TX 77845-1808
(979) 431-3380
Mailing address
113 PR SANDERS LN, JEWETT, TX 75846
(903) 915-0934
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
340295
TX
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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