Individual
LISA AMBER GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRH
Contact information
Practice address
15490 W BELL RD, SURPRISE, AZ 85374-3496
(623) 546-0032
Mailing address
15490 W BELL RD, SURPRISE, AZ 85374-3496
(623) 546-0032
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S011593
AZ
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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