NPI 1467078873
Stephanie Gonzales
Practice location
- Address
- 2010 Industrial Park Rd, Espanola, NM 87532-3600
- Phone
- (505) 753-3143
- Mailing address
- PO Box 94508, Albuquerque, NM 87199-4508
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1467078873
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Jun 2020
- Record last updated
- 22 Jun 2020
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.