Abel Gonzalez
Rehabilitation Practitioner in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1669962452
StatusActive
Last updated in NPPESMay 16, 2018
Details
- NPI
- 1669962452
- Entity type
- Individual (NPI-1)
- Name
- Abel Gonzalez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 16, 2018
- Last updated
- May 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
3347 Tara Leigh AveNorth Las Vegas, NV 89031-3544
Phone 702-496-6090
Mailing address
3347 Tara Leigh AveNorth Las Vegas, NV 89031-3544
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