Individual
BENITA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
308 S MOUNTAIN ST, BAY CITY, MI 48706-4253
(989) 930-7522
Mailing address
308 S MOUNTAIN ST, BAY CITY, MI 48706-4253
(989) 930-7522
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703081394
MI
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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