Individual
MR. ALEXIS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 TACOMA BLVD N APT 3, PACIFIC, WA 98047-1045
(253) 221-4214
(855) 707-0303
Mailing address
101 TACOMA BLVD N APT 3, PACIFIC, WA 98047-1045
(253) 221-4214
(855) 707-0303
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC18872
WA
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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