Most Relevant Information
Provider Data
| NPI Number: | 1003682600 |
| Provider Name: | ALEXANDRA ORDONEZ GONZALEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/27/2023 |
| Last Updated: | 11/27/2023 |
Provider Practice Location
3336 GYPSUM CREEK RD
GYPSUM
CO
816376702
Practice Location Phone/Fax
| Phone: | 9703764940 |
| Fax: |
Provider Mailing Location
PO BOX 128
GYPSUM
CO
816370128
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |