Provider Information for 1194346932
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NIDIA GONZALES LPC
Other Names:Former Name:NIDIA CERVANTESSex: Female
NPI: 1194346932
Last Updated: 2020-05-04
Certification Date: 2020-05-04
Certification Date: 2020-05-04
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1194346932 | ||||||||
| Enumeration Date | 2020-05-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2018 W ARBOR ST HARLINGEN, TX 78552-7427 United States Phone: 956-367-1754 | Fax: | ||||||||
| Primary Practice Address | 2018 W ARBOR ST HARLINGEN, TX 78552-7427 United States Phone: 956-367-1754 | Fax: | ||||||||
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