NPI 1043540594

Raymond Lee Gonzales, CMAICNAHHADDCA

Practitioner Day Training/Habilitation Specialist Tulsa, OK

Practice location

Address: 1623 S 128th East Ave, Tulsa, OK 74128-6025
Phone: (918) 437-8156

Registered specialties (5)

Day Training/Habilitation Specialist Primary

Nursing Service Related Providers Taxonomy 373H00000X Licence 320178900107 (OK)

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Homemaker

Nursing Service Related Providers Taxonomy 376J00000X Licence 37V840760399 (OK)

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Nurse's Aide

Nursing Service Related Providers Taxonomy 376K00000X Licence 37V615640107 (OK)

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Chore Provider

Nursing Service Related Providers Taxonomy 372500000X Licence 37V840760399 (OK)

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X Licence 37V840760399 (OK)

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Registry record

NPI: 1043540594
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jan 2010
Record last updated: 6 Jan 2010

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.