Individual
ROBERTA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R, M
Contact information
Practice address
4445 WILLARD AVE, SUITE 200, CHEVY CHASE, MD 20815-3690
(301) 907-7793
Mailing address
9104 TULIP GROVE RD, GAITHERSBURG, MD 20879-1859
(580) 480-5848
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
R0010936
MD
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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