Individual
RAQUEL JUSTINIANO GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
(LM)LICENSED MIDWIFE
Contact information
Practice address
951 N WASHINGTON AVE BLDG 4, TITUSVILLE, FL 32796-2194
(321) 268-6111
(321) 268-6364
Mailing address
1440 SMOKE HILL DR, HOSCHTON, GA 30548-1752
(423) 661-9226
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
TMW20
FL
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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