Individual
ANDREA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
875 STATE HIGHWAY 217, TIJERAS, NM 87059-7813
(505) 832-5553
(505) 832-5392
Mailing address
875 STATE HIGHWAY 217, TIJERAS, NM 87059-7813
(505) 832-5553
(505) 832-5392
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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