Individual
JOSE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9480 S. EASTERN AVE. SUITE 262, HENDERSON, NV 89052
(702) 407-7700
Mailing address
10624 S EASTERN AVE STE A-955, HENDERSON, NV 89052-2982
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN002094
NV
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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