NPI 1558095661
Michael Anthony Gonzales
Practice location
- Address
- 86 Baldy Ford Rd, Lebanon, TN 37090-6656
- Phone
- (661) 616-8778
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1558095661
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Jul 2022
- Record last updated
- 13 Jul 2022
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.