Individual
DANIEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
820 HWY 478, ANTHONY, NM 88021
(575) 882-5101
(575) 882-2858
Mailing address
P.O. BOX 2285, LAS CRUCES, NM 88004
(575) 882-5101
(575) 882-2858
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
02/28/2008
Last updated
08/21/2009
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