Individual
ELENA MARIE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
448 WILD MINT LN, ALLENTOWN, PA 18104-8405
(610) 393-1434
Mailing address
448 WILD MINT LN, ALLENTOWN, PA 18104-8405
(610) 393-1434
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/07/2021
Last updated
02/07/2021
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