Individual
JORGE IGNACIO GONZALEZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
432 MYRTLE ST UNIT 2, ERIE, PA 16507-1323
(787) 410-4781
Mailing address
432 MYRTLE ST UNIT 2, ERIE, PA 16507-1323
(787) 410-4781
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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