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Autumn Gonzales
NPI 1073275756 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3917 West Rd Ste A
Los Alamos, NM 87544 - Phone
- (505) 661-8900
- Organisation at this address
- Gonzalo A Diaz
Phc-Los Alamos Inc
Phc-Los Alamos Inc
Phc-Los Alamos Inc
Phc- Los Alamos IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 88
Additional practice sites
- 1500 N Renaissance Blvd Ne Ste C, Albuquerque, NM
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 390200000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico