Organization
KATHY R. GONZALEZ O.D. L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHY R GONZALEZ OD (OWNER)
(330) 348-9998
Entity
Organization
Contact information
Practice address
14894 N STATE AVE, MIDDLEFIELD, OH 44062-9724
(440) 632-1695
Mailing address
9813 FIRESTONE LN, MACEDONIA, OH 44056-1544
(330) 348-9998
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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