Individual
MISS CHEYANNE ELAINE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
252 MAIN ST, GOSHEN, NY 10924-2178
(845) 294-1513
Mailing address
52 SPRING ST, MONTICELLO, NY 12701-2253
(845) 794-5319
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
280427-1
NY
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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