Individual
CHARLES GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3012 SHELDON RD, MIDDLETOWN, OH 45042-3637
(513) 804-5015
Mailing address
PO BOX 896, FRANKLIN, OH 45005-0896
(513) 804-5015
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
10/27/2017
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