Individual
LAURA NAYELI GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
731 JACKSON ST, AURORA, IL 60505-5210
(630) 486-8322
Mailing address
731 JACKSON ST, AURORA, IL 60505-5210
(630) 486-8322
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
G52453490759
IL
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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