Individual
PRISCILLA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 S SOLANO DR, LAS CRUCES, NM 88001-3758
(575) 522-4004
Mailing address
4214 HARP CT, LAS CRUCES, NM 88011-0919
(915) 373-1128
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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