MR. Raymond Lee Gonzales, CMA-I, CNA, HHA,DDCA

NPI #1043540594 in Tulsa, Oklahoma

Provider Information

NPI Number: 1043540594
Entity Type: Individual
Name: MR. Raymond Lee Gonzales, CMA-I, CNA, HHA,DDCA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Day Training/Habilitation Specialist
Credential: CMA-I, CNA, HHA,DDCA
Enumeration Date: Jan 6, 2010
Last Updated: Jan 6, 2010

Practice Location

Address: 1623 S 128TH EAST AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74128-6025
Phone: (918) 437-8156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X
Nurse's Aide	376K00000X
Chore Provider	372500000X
Adult Companion	372600000X
Day Training/Habilitation Specialist	373H00000X	Primary

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