Individual
JANELLE TREJO-GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 INTREPID AVE, PHILADELPHIA, PA 19112-1229
(619) 994-5929
Mailing address
27251 MESQUITE AVE, WELLTON, AZ 85356-3634
(619) 994-5929
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95264389
CA
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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