Individual
FERMIN ANDRES GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 CASA DEL SOL LN, LOS LUNAS, NM 87031-9379
(505) 230-8015
Mailing address
800 CASA DEL SOL LN, LOS LUNAS, NM 87031-9379
(505) 230-8015
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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