Individual
ABIGAIL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 BROWNS POINT BLVD, TACOMA, WA 98422-2041
(253) 925-9220
Mailing address
2712 S 12TH ST APT 1, TACOMA, WA 98405-2744
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61352086
WA
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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