Individual
MARIA L GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
126 PALMILLA AVE, MESQUITE, NC 88048-0041
(575) 496-7794
Mailing address
PO BOX 41, MESQUITE, NM 88048-0041
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
335072
NM
Other
Enumeration date
03/13/2025
Last updated
06/02/2025
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