Individual
LUIS JESUS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
903 BRIGHTSEAT RD, LANDOVER, MD 20785-4725
(202) 967-5739
Mailing address
4719 COLONEL ASHTON PL, UPPER MARLBORO, MD 20772-2873
(202) 967-5739
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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