Individual provider · Type 1 NPI

Mari Gonzalez

Student in an Organized Health Care Education/Training Program · Tahlequah, OK

NPI number 1609757970 Active

Practice location

600 N Grand Ave
Tahlequah, OK 74464-2301

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609757970

Mari Gonzalez's National Provider Identifier is 1609757970, issued on Sep 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tahlequah, OK. The record was last updated on Oct 24, 2025.