Individual
EMILY GOTTSCHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 ALLEN ST, ESTANCIA, NM 87061
(505) 510-5008
Mailing address
282 S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-5909
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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