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Individual

DR. JONATHAN OSVALDO GONZALEZ RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
24 LEWIS ST, HARTFORD, CT 06103-2501
(860) 278-9141
(860) 525-4013
Mailing address
24 LEWIS ST, HARTFORD, CT 06103-2501
(860) 278-9141
(860) 525-4013

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2277
CT

Other

Enumeration date
11/29/2022
Last updated
11/29/2022
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