Individual
MS. JENNIFER J GONZAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TS-C, CSFA
Contact information
Practice address
625 INNOVATION DR, RENO, NV 89511-2215
(775) 799-7320
Mailing address
2401 HARVARD WAY APT 244, RENO, NV 89502-7303
(916) 549-7798
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
100269710
NV
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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