Individual
JENNIFER GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 CEDAR ST, SOUTH BEND, IN 46617-2054
(574) 800-9715
Mailing address
707 CEDAR ST, SOUTH BEND, IN 46617-2054
(574) 800-9715
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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