Individual
MR. EZEKIEL GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6323 W 32ND AVENUE, KENNEWICK, WA 99338
(831) 392-5312
Mailing address
6323 W 32ND AVENUE, KENNEWICK, WA 99338
(831) 392-5312
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN602941142
WA
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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