Most Relevant Information
Provider Data
| NPI Number: | 1003589029 |
| Provider Name: | BARBARA LUCIA MORA GONZALEZ MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/26/2021 |
| Last Updated: | 07/06/2024 |
Provider Practice Location
1161 21ST AVENUE S
MCN A-2206
NASHVILLE
TN
37232
Practice Location Phone/Fax
| Phone: | 8063172634 |
| Fax: |
Provider Mailing Location
1161 21ST AVENUE S
MCN A-2206
NASHVILLE
TN
37232
Provider Mailing Phone/Fax
| Phone: | 8063172634 |
| Fax: |