Provider Demographics
NPI:1487279873
Name:GONZALEZ, NATALIA (DIPLOM, AP, LAC)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:DIPLOM, AP, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 KILDAIRE FARM RD STE G4
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-3935
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:919 KILDAIRE FARM RD STE G4
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-3935
Practice Address - Country:US
Practice Address - Phone:919-228-8645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-10
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP4146171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist