Individual
MALLORY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 W MAIN ST, UNIONTOWN, PA 15401-2868
(724) 430-6200
Mailing address
110 HIGH ST, MC MURRAY, PA 15317-2918
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP019047
PA
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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