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Contact Information

MANDA J GONZALES, RN
920 W BROADWAY ST
HOBBS, NM88240-5529
 Phone: 575-393-3168
 Fax: 575-397-4659
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for MANDA J GONZALES · (Female)

NPI Number 1740527167
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 01/04/2013
Last updated 01/27/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # R49953
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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