Individual
ANNETTE MARIE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
512 STURDY RD, APT 102, VALPARAISO, IN 46383-5255
(219) 309-0068
Mailing address
512 STURDY RD, APT 102, VALPARAISO, IN 46383-5255
(219) 309-0068
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001177A
IN
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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