Individual
ADDIE LEIGH GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 860-6670
Mailing address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
159453
IA
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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