NPI 1033584305
Teraka Gonzalez
Practice location
- Address
- 1435 Village Drive Dept 2805, Ogden, UT 84408
- Phone
- (801) 626-7656
- Mailing address
- 1435 Village Dr Dept 2805, Ogden, UT 84408-5150
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1033584305
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Dec 2015
- Record last updated
- 11 Dec 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.