Individual
RHONDA ELAINE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
Mailing address
109 S RACE ST, VAN WERT, OH 45891-1858
(419) 203-5355
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP054426
AZ
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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