Individual
MICHELLE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7906 N 39TH ST, AUGUSTA, MI 49012-9714
(734) 812-6973
Mailing address
7906 N 39TH ST, AUGUSTA, MI 49012-9714
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704228622
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952924193
NPI
MI
Enumeration date
04/18/2020
Last updated
05/12/2023
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