Individual
CYNTHIA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSUDC
Contact information
Practice address
164 E 5900 S, MURRAY, UT 84107-7256
(801) 261-5794
Mailing address
1087 E 760 N, OREM, UT 84097-5479
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
11950093-6005
UT
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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