Individual
CARLOTTA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
361 BONNIE BRAE AVE NE, WARREN, OH 44483-5212
(330) 506-5348
Mailing address
361 BONNIE BRAE AVE NE, WARREN, OH 44483-5212
(330) 506-5348
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
158821
OH
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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