Individual
LUZ GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2217 DILLON RD, CLOVIS, NM 88101-9454
(575) 769-7356
(575) 769-7289
Mailing address
2217 DILLON RD, CLOVIS, NM 88101-9454
(575) 769-7356
(575) 769-7289
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2896
NM
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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