Individual
CANDIDA I GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5200 BUNY TRAIL, WEST KILLEEN MEDICAL HOME, FORT HOOD, TX 36362-5333
(254) 553-8110
(254) 553-8111
Mailing address
CARL R. DARNALL ARMY MEDICAL CENTER, 36065 SANTA FE AVE., FORT HOOD, TX 76544-5333
(254) 553-8110
(254) 553-8111
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
023691
PR
Other
Enumeration date
11/12/2008
Last updated
03/18/2021
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