Individual
CIARA JOANNE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(612) 545-6112
Mailing address
5245 28TH AVE S APT 105, FARGO, ND 58104-9080
(612) 545-6112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
126085
MN
Other
Enumeration date
07/10/2023
Last updated
07/11/2023
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