Individual
JULIE LYNN GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
CORNER OF RT 7 AND RT 12, FORT DEFIANCE, AZ 86504
(928) 729-8600
Mailing address
501 CACTUS RD, GALLUP, NM 87301-5711
(505) 870-6160
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
62932
NM
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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