Individual
LAURA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 DENVER AVE, LORAIN, OH 44055-2306
(440) 233-2165
Mailing address
3535 DENVER AVE, LORAIN, OH 44055-2306
(440) 233-2165
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
3157006
OH
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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