Individual
GRACIELA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1250 U ST NW, WASHINGTON, DC 20009-7522
(202) 671-1268
(202) 673-7642
Mailing address
615 SONATA WAY, SILVER SPRING, MD 20901-5002
(301) 593-4205
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10665
PR
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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