Alicia L. Gonzales LMP
Specialist in Tumwater, WA(View on Map)
Full Name
Alicia Leandra Gonzales LMP
NPI Number
1083946768
NPI Type
Individual Provider
Gender
Female
Enumeration Date
02/05/2010
Specialties
(Taxonomies)Licenses
State
Washington
License Number
MA60109727
Contact
Information
Purpose
Mailing
Location
Address
5450-102 CUDA LANE SW
5450 CUDA LN UNIT 102
City
Tumwater
Tumwater
State
WA
WA
Postal Code
98512
98512-6942
Country
US
US
Telephone Number
(360) 349-3979
(360) 349-3979
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/08/2010