Individual
MS. BEATRICE JASMINE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 PARK ST APT 15A, HACKENSACK, NJ 07601-4398
(973) 460-0930
Mailing address
340 PARK ST APT 15A, HACKENSACK, NJ 07601-4398
(973) 460-0930
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009346-1
NY
Other
Enumeration date
01/19/2020
Last updated
01/19/2020
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