Individual
AMANDA ANN GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
(509) 654-3124
Mailing address
5262 17TH AVE SW, SEATTLE, WA 98106-1551
(509) 654-3124
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60133644
WA
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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