Gonzales, Manda J

Gonzales, Manda J is an individual health care provider with primary practice located at 920 W Broadway St , Hobbs NM 88240-5529. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gonzales, Manda J can be contacted via phone (575) 393-3168.

Contact Information

Primary practice address
920 W Broadway St Hobbs NM 88240-5529
Phone: (575) 393-3168
Fax: (575) 397-4659
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X R49953 New Mexico

Profile Details

NPI number 1740527167
LBN Legal business name Gonzales, Manda J
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2013
Last updated Jan 4th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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