Individual
JOSE MANUEL GONZALEZ-MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
147 LEE TRACE DR, SMITHFIELD, NC 27577-9519
(818) 390-3071
Mailing address
147 LEE TRACE DR, SMITHFIELD, NC 27577-9519
(818) 390-3071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
GONZ-UYV3E
NC
Other
Enumeration date
10/11/2021
Last updated
10/19/2021
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