| NPI | 1790672491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIO P GONZALES President 725-205-0288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-09-02 |