Individual
CAMILLE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
171 COUNTRY CLUB DR UNIT 5, UNION, NJ 07083-8747
(516) 445-9122
Mailing address
171 COUNTRY CLUB DR UNIT 5, UNION, NJ 07083-8747
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR24154800
NJ
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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