Individual
DOMONIQUE DESHAE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4856 INNOVATION DR, FORT COLLINS, CO 80525-5539
(970) 494-4200
(844) 270-1824
Mailing address
4856 INNOVATION DR, FORT COLLINS, CO 80525-5539
(970) 494-4200
(844) 270-1824
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA.00802613
CO
Other
Enumeration date
04/28/2022
Last updated
06/13/2025
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