Individual
TERESITA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 5TH ST STE 100, SANTA FE, NM 87505-5403
(505) 927-9276
Mailing address
PO BOX 8124, SANTA FE, NM 87504-8124
(505) 946-7405
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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