SearchNew Mexico163W00000X

Tanya Gonzales

NPI 1508313040 · on the registry since 2016 · sole proprietor

Practice

Address
1575 West Bosque Looop
Bosque Farms, NM 87068
Phone
(505) 459-8143

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-11-14

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