Individual
MRS. MARTHA A GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
3641 MATTOX ST, EL PASO, TX 79925-1307
(915) 532-6280
Mailing address
3641 MATTOX ST, EL PASO, TX 79925-1307
(915) 532-6280
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
DT80042
TX
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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