Individual
JACQUELINE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3930 HOWARD HUGHES PKWY STE 300, LAS VEGAS, NV 89169-0946
(702) 560-2192
Mailing address
9041 LOGGERS MILL AVE, LAS VEGAS, NV 89143-5417
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
857306
NV
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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