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Individual

MS. ANDREA GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
650 JOEL DR, ATTN: CREDENTIALS OFFICE, FORT CAMPBELL, KY 42223-5318
(270) 956-8106
(270) 256-8106
Mailing address
HQ SPECIAL OPERATIONS CMD EUR, ATTN: SOHC MAJ ANDREA GONZALEZ, APO, AE 09131-0400
(324) 379-4042

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1115660

Other

Enumeration date
11/07/2013
Last updated
08/29/2023
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