Individual
VICTORIA BEATRIZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2500 N STATE ST, DEPARTMENT OF OTOLARYNGOLOGY, JACKSON, MS 39216-4500
(601) 815-4775
(601) 984-6451
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-4775
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A3705
MS
231H00000X
Audiologist
AY1572
FL
237600000X
Audiologist-Hearing Aid Fitter
AY1572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002917500
—
FL
05
—
002917501
—
FL
05
—
00336063
—
MS
Enumeration date
09/23/2008
Last updated
01/31/2014
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