Individual
DREAM GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6072 ILLINOIS LN SE UNIT A, LACEY, WA 98513-5095
(909) 407-2286
Mailing address
6072 ILLINOIS LN SE UNIT A, LACEY, WA 98513-5095
(909) 407-2286
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000040853
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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