Individual
JORGE LUIS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
1514 S 13TH ST, LAS VEGAS, NV 89104
(561) 363-9591
Mailing address
1514 S 13TH ST, 1514, LAS VEGAS, NV 89104
(561) 363-9591
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
24-462
NV
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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