Individual
ASHLEY KRISTINE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2020 E CHESTNUT AVE, VINELAND, NJ 08361-8432
(856) 506-9871
Mailing address
1550 CLOVER AVE, VINELAND, NJ 08361-6540
(856) 506-9871
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2021
Last updated
10/24/2022
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