Individual
EMMA ROSE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
STATION 13 1500 S. AVENUE K, PORTALES, NM 88130
(575) 562-4211
Mailing address
810 N AVENUE L, PORTALES, NM 88130-5725
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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