Individual
MR. JOVANI GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
812 E JOLLY RD, LANSING, MI 48910-6818
(517) 512-6047
Mailing address
812 E JOLLY RD, LANSING, MI 48910-6818
(517) 512-6047
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704350167
MI
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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