Individual
JENNIFER MARIE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNIM, R.EP.T
Contact information
Practice address
8655 E VIA DE VENTURA STE E160, SCOTTSDALE, AZ 85258-3395
(480) 596-1686
Mailing address
8655 E VIA DE VENTURA STE E160, SCOTTSDALE, AZ 85258-3395
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
1703
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1703
ABRET
AZ
Enumeration date
08/23/2022
Last updated
04/14/2023
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