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Individual

ERNESTO GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2120 BEVERLY WAY, LAS VEGAS, NV 89104-2758
(702) 542-5853
Mailing address
2120 BEVERLY WAY, LAS VEGAS, NV 89104-2758
(702) 542-5853

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
07/18/2019
Last updated
07/18/2019
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