Individual
MRS. AMY M. GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TECHNICIAN
Contact information
Practice address
U.S. COAST GUARD, 2100 2ND ST SW SUITE 5314, WASHINGTON, DC 20593
(985) 201-0678
(361) 939-6207
Mailing address
6825 ROUND TABLE, CORPUS CHRISTI, TX 78414
(985) 201-0678
(361) 939-6207
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
24720000X
TX
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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