Individual
JEREMY NOEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 ELSTON RD, LAFAYETTE, IN 47909-7000
(765) 477-7707
Mailing address
12 ELSTON RD, LAFAYETTE, IN 47909-7000
(765) 477-7707
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003486A
IN
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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