Individual
JAN GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4545 CONNECTICUT AVE NW APT 1018, WASHINGTON, DC 20008-6008
(202) 910-6017
Mailing address
4545 CONNECTICUT AVE NW APT 1018, WASHINGTON, DC 20008-6008
(202) 910-6017
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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