Individual
GRACIELA YVONNE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 CALLE DEL NORTE, SUITE 440, LAREDO, TX 78041-6036
(956) 722-6221
(956) 722-6275
Mailing address
305 NEBRASKA ST # 820, BUSINESS TOWER 1, SUITE 200, LAREDO, TX 78041-3246
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2105635
TX
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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