Individual
JASMINE GONZALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 613-2315
Mailing address
5514 WINTHROP AVE, INDIANAPOLIS, IN 46220-3249
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26021703A
IN
Other
Enumeration date
08/24/2006
Last updated
11/09/2009
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