Individual
TAINA MARIA GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1966 NEWBOLD AVE APT 707, BRONX, NY 10472-5025
(718) 600-4647
Mailing address
1966 NEWBOLD AVE APT 707, BRONX, NY 10472-5025
(718) 600-4647
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
624218
NY
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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