Individual
OTTOLINA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3353 LOUSMA DR. SE, WYOMING, MI 49548
(616) 241-6258
(616) 241-6470
Mailing address
3353 LOUSMA DR SE, WYOMING, MI 49548-2251
(616) 241-6258
(616) 241-6470
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704211482
MI
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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