Ben Makanamaikalani Gonzalez
Physical Therapist in Los Lunas, NM. Individual provider (NPI-1).
NPI number1982128765
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982128765
- Entity type
- Individual (NPI-1)
- Name
- Ben Makanamaikalani Gonzalez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5114 | NM | Yes |
Practice location
535 Hwy 314 SwLos Lunas, NM 87031-9600
Phone 505-866-0055
Mailing address
535 Hwy 314 SwLos Lunas, NM 87031-9600
Phone 505-866-0055
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