Individual
JAIZIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3009 STRATOFORTRESS AVE STE B, ATWATER, CA 95301-5170
(209) 726-9000
Mailing address
3009 STRATOFORTRESS AVE STE B, ATWATER, CA 95301-5170
(209) 726-9000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48672
CA
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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