Individual
SHERRY LYNN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 WILMOT AVE, APT. 308, TWIN LAKES, WI 53181-9393
(262) 758-7995
Mailing address
1601 WILMOT AVE, APT. 308, TWIN LAKES, WI 53181-9393
(262) 758-7995
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316186-031
WI
Other
Enumeration date
08/11/2012
Last updated
08/11/2012
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