Individual
MARY ELIZABETH GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 E 20TH ST STE D, FARMINGTON, NM 87401-2151
(505) 327-0293
Mailing address
475 E 20TH ST STE D, FARMINGTON, NM 87401-2151
(505) 327-0293
(505) 564-4925
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
251S00000X
NM
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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