Individual
ANTHONEY ROBERT GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
393 DUNLAP ST N STE LL34, SAINT PAUL, MN 55104-4202
(651) 644-6440
Mailing address
393 DUNLAP ST N STE LL34, SAINT PAUL, MN 55104-4202
(651) 644-6440
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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