Individual
MRS. GINA MARISSA GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3406 BAY BREEZE DR, SEABROOK, TX 77586-1671
(832) 867-4011
(281) 532-2079
Mailing address
3406 BAY BREEZE DR, SEABROOK, TX 77586-1671
(832) 867-4011
(281) 532-2079
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
193400000X
TX
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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