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Individual

JUAN A GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-0295
Mailing address
1538 AVENIDA DE LAS AMERICAS APT B, SANTA FE, NM 87507-5191
(505) 913-0295

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
56511
NM

Other

Enumeration date
07/21/2025
Last updated
07/21/2025
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