Individual provider · NPI-1

Luz Del Carmen Gonzalez

Foster Care Agency · El Paso, TX

NPI number1225549777
StatusActive
Last updated in NPPESAug 8, 2021

Details

NPI
1225549777
Entity type
Individual (NPI-1)
Name
Luz Del Carmen Gonzalez
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 23, 2017
Certification date
Aug 8, 2021
Last updated
Aug 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253J00000X Foster Care AgencyLHOC19-00007TXYes

Practice location

11640 Norman Montion Dr
El Paso, TX 79936-0710

Phone 915-849-1603

Mailing address

11640 Norman Montion Dr
El Paso, TX 79936-0710

Phone 915-849-1603

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