Individual
MISS JESSICA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
2200 DATIL ST, HIDALGO, TX 78557-3419
(956) 451-6965
Mailing address
2200 DATIL ST, HIDALGO, TX 78557-3419
(956) 451-6965
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
35341
TX
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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