Individual provider · Type 1 NPI
Mauricio C. Gonzalez
Student in an Organized Health Care Education/Training Program · Pocatello, ID
NPI number
1619708765
Active
Practice location
921 S 8th Ave., Stop 8253
Pocatello, ID 83209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
Another provider at this address
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About NPI 1619708765
Mauricio C. Gonzalez's National Provider Identifier is 1619708765, issued on Aug 12, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pocatello, ID. The record was last updated on Aug 12, 2024.