Female

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)

Code

174400000X

Primary Taxonomy

Yes

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

Provider Address

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