Individual
ANDREA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 JAMESON ST, SAGINAW, MI 48602-3238
(469) 396-2547
Mailing address
510 JAMESON ST, SAGINAW, MI 48602-3238
(469) 396-2547
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703113070
MI
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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