Individual
ELIASAR GONZALES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5632 CEDAR ST, OMAHA, NE 68106-2236
(402) 871-2276
Mailing address
5632 CEDAR ST, OMAHA, NE 68106-2236
(402) 871-2276
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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