Individual
MARIA TERESA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1400 S DOBSON RD # B-122, MESA, AZ 85202-4707
(602) 314-4432
(602) 324-2308
Mailing address
PO BOX 25335, SCOTTSDALE, AZ 85255-0105
(408) 457-4819
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG06240016
AZ
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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