Individual
JACQUELINE GONZEALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 834-7525
Mailing address
326 E MIDDLE ST, HANOVER, PA 17331-2540
(717) 637-5690
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN261414L
PA
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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