TINA MARIE GONZALES

SANTA FE, NM
NPI1871020255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NM  CNP-03228)
Enumeration Date2017-05-17
Last Update Date2018-03-17
Business Address
TINA MARIE GONZALES
811 SAINT MICHAELS DR
SANTA FE, NM 87505-7641
Phone number: 505-988-2049
Mailing Address
TINA MARIE GONZALES
166 COUNTY ROAD 119
ESPANOLA, NM 87532-3502
Phone number: 505-501-4408