Individual
SPENCER KELLEN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
84 DORMITORY ROW WEST, UNIVERSITY, MS 38677
(513) 346-8947
Mailing address
255 HILLCREST DR, CINCINNATI, OH 45215-2609
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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