Individual
NAIDA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 LAREDO ST, LAREDO, TX 78040-5308
(956) 763-6487
Mailing address
1320 LAREDO ST, LAREDO, TX 78040-5308
(956) 763-6487
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
172A00000X
Driver
—
—
Other
Enumeration date
09/30/2014
Last updated
02/19/2019
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