Individual
KATLIN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 E LEIGH ST, RICHMOND, VA 23298
(804) 828-7247
Mailing address
10 DARBY LN, PALMYRA, VA 22963-3043
(423) 200-9100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001325280
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0001325280
VA
Other
Enumeration date
01/15/2024
Last updated
01/17/2024
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