Individual
BEATRICE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3537 LOS LAGOS DR, EDINBURG, TX 78542-4533
(863) 599-0417
Mailing address
2712 PRESIDIO DR APT 2, EDINBURG, TX 78539-3205
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
339141
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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