IndividualActive
Alicia Gonzales, LMP
NPI 1083946768 · Specialist · Tumwater, WA
Provider details
- NPI number
- 1083946768
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA60109727 (WA)
Specialties & taxonomies
Other Service Providers
Practice location
5450 Cuda Ln Unit 102
Tumwater, WA 98512-6942
Phone: (360) 349-3979
Approximate (ZIP-level) locationGet directions
Mailing address
5450-102 Cuda Lane Sw
Tumwater, WA 98512
Registry dates
- Enumerated
- 2010-02-05
- Last updated
- 2010-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.