Individual
MRS. KELLY LYNN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1143 S ELM ST, WASHINGTON COURT HOUSE, OH 43160-2027
(740) 463-3413
Mailing address
1143 S ELM ST, WASHINGTON COURT HOUSE, OH 43160-2027
(740) 463-3413
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400572081206
OH
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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