Individual
MELISSA MCGILL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6393
(210) 308-9193
Mailing address
622 GLENCREST DR, SAN ANTONIO, TX 78229-4214
(210) 308-9193
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
252463
TX
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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