Individual
EDITH ARLENE GONZALEZ SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13036 WATERFORD WOOD CIR APT 304, ORLANDO, FL 32828-6053
(787) 449-0419
Mailing address
13036 WATERFORD WOOD CIR APT 304, ORLANDO, FL 32828-6053
(787) 449-0419
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10387078
CMS ENTERPRISE
FL
Enumeration date
04/18/2019
Last updated
04/18/2019
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