Individual
KEYONA CHANELL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 2ND AVE NW, MANDAN, ND 58554-3124
(701) 667-3383
(701) 667-3203
Mailing address
135 NEW JERSEY ST, BISMARCK, ND 58504-6741
(701) 667-3378
(701) 667-3384
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
5296
ND
Other
Enumeration date
04/28/2020
Last updated
05/04/2026
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