Individual
JENNIFER GONZALEZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2475 15TH ST NW STE D, NEW BRIGHTON, MN 55112-5606
(612) 502-5842
Mailing address
2475 15TH ST NW STE D, NEW BRIGHTON, MN 55112-5606
(612) 502-5842
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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