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Individual

AMANDA MARIE GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3912 W 97TH PL, WESTMINSTER, CO 80031-2630
(845) 240-0530
Mailing address
3912 W 97TH PL, WESTMINSTER, CO 80031-2630
(845) 240-0530

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
11/04/2016
Last updated
11/04/2016
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