Individual
MRS. CARMEN C GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
1230
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2233715
LICENCIA
PR
01
—
25761
LICENCIA ENFERMERIA
PR
Enumeration date
01/23/2014
Last updated
01/23/2014
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