Individual
ALEXANDRA SELENA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10450 BRIAN MOONEY AVE, EL PASO, TX 79935-2809
(915) 598-6616
Mailing address
12293 KINGSGATE CT, EL PASO, TX 79928-7260
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14292367
TX
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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