Individual
AGAPITO PETE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4401 MORRIS ST NE APT 288, ALBUQUERQUE, NJ 87111
(509) 431-3699
Mailing address
4401 MORRIS ST NE APT 288, ALBUQUERQUE, NM 87111-3728
(509) 431-3699
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
GONNZAP1760S
WA
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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