Individual
MARIO GONZALEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
723 SW 10TH ST, RENTON, WA 98057-5223
(425) 891-0563
Mailing address
723 SW 10TH ST, RENTON, WA 98057-5223
(425) 891-0563
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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