ROY GONZALEZ

SIOUX CITY, IA
NPI1679920946
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy313M00000X Nursing Facility/Intermediate Care Facility
(Licence: NE  1463)
Enumeration Date2016-05-17
Last Update Date2016-05-17
Business Address
-- ROY GONZALEZ PTA
40 RIDGEVIEW RD
SIOUX CITY, IA 51104-4052
Phone number: 712-204-4297
Mailing Address
-- ROY GONZALEZ PTA
40 RIDGEVIEW RD
SIOUX CITY, IA 51104-4052
Phone number: 712-204-4297