Individual
MRS. CAROLYN MARIE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
7632 AVENUE J, HOUSTON, TX 77012-1030
(832) 971-4412
Mailing address
7632 AVENUE J, HOUSTON, TX 77012-1030
(832) 971-4412
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-12233
TX
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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