Individual
MRS. JUANA MARIA GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2766 PENHALL CT, WELLINGTON, FL 33414
(561) 718-2200
Mailing address
2766 PENHALL CT, WELLINGTON, FL 33414
(561) 718-2200
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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