Individual provider · Type 1 NPI

Alicia Leandra Gonzales, LMP

Specialist · Tumwater, WA

NPI number 1083946768 Active

Practice location

5450 Cuda Ln Unit 102
Tumwater, WA 98512-6942

Mailing address

5450-102 Cuda Lane SW
Tumwater, WA 98512

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA60109727 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1083946768

Alicia Leandra Gonzales, LMP's National Provider Identifier is 1083946768, issued on Feb 5, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tumwater, WA. The record was last updated on Feb 8, 2010.