Individual
MS. JACKIE AGNESS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4307 EAGLE TRACE CT, WALDORF, MD 20602-3116
(301) 351-7881
Mailing address
4307 EAGLE TRACE CT, WALDORF, MD 20602-3116
(301) 351-7881
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R131587
MD
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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