Individual
FAITH MARIE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 W PORTLAND ST UNIT 244C, PHOENIX, AZ 85003-5425
(602) 391-7959
Mailing address
205 W PORTLAND ST UNIT 244C, PHOENIX, AZ 85003-5425
(602) 391-7959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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