Individual
KIM GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5808 PASEO DEL MAR, LAS VEGAS, NV 89108-4179
(702) 588-4097
Mailing address
5808 PASEO DEL MAR, LAS VEGAS, NV 89108-4179
(702) 588-4097
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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