Individual
HOLLY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPSS
Contact information
Practice address
527 CROCKETT ST, SHREVEPORT, LA 71101-3601
(318) 222-8511
Mailing address
124 EASY ST, STONEWALL, LA 71078-8297
(318) 947-0180
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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