Individual
MRS. JENNIFER S GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6512 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7340
(330) 499-5600
(330) 499-4190
Mailing address
6512 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7340
(330) 499-5600
(330) 499-4190
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50002728
OH
Other
Enumeration date
01/22/2008
Last updated
03/06/2012
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