Individual
MISS JENNIFER-ANTOINETTE GONZALES NUGUID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
753 MARANELLO ST, HENDERSON, NV 89052-5758
(702) 714-0681
Mailing address
753 MARANELLO ST, HENDERSON, NV 89052-5758
(702) 714-0681
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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