Individual
SAMUEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 E FRONT ST, LARIMORE, ND 58251-4006
(701) 215-6017
Mailing address
PO BOX 596, LARIMORE, ND 58251-0596
(701) 215-6017
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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