| NPI | 1205215027 |
|---|---|
| Other Name | JUAN GONZALEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 823386) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV 823386) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2025-03-26 |