Individual
ANTONIA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6302 CLEAR CREEK ST, PAPILLION, NE 68157-2352
(402) 779-6614
Mailing address
5513 CENTER ST, OMAHA, NE 68106-3001
(402) 595-1256
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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