Individual
ANGELICA MARIA GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 FERNANDEZ RD, LOS LUNAS, NM 87031-8703
(505) 508-3503
Mailing address
343 MAIN ST NW, LOS LUNAS, NM 87031-8712
(505) 865-9636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-4382
NM
Other
Enumeration date
08/19/2008
Last updated
08/15/2019
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