Individual
HECTOR GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
59 JOHN H CHAFEE BLVD, APT. 317, NEWPORT, RI 02840-1179
(401) 999-8631
Mailing address
PO BOX 6123, MIDDLETOWN, RI 02842-0930
(401) 999-8631
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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