Individual
ELISABETH GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1041 45TH ST, MANGONIA PARK, FL 33407-2402
(561) 000-0000
Mailing address
1041 45TH ST, MANGONIA PARK, FL 33407-2402
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
780914
CA
163W00000X
Registered Nurse
Primary
9234540
FL
Other
Enumeration date
04/16/2020
Last updated
02/01/2022
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