Individual
KIMBERLEY GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20500 SENECA MEADOWS PKWY, GERMANTOWN, MD 20876-7008
(240) 771-4843
Mailing address
20500 SENECA MEADOWS PKWY, GERMANTOWN, MD 20876-7008
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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