Individual
MS. JACQUELINE SUZANNE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 WOOD AVE S, ISELIN, NJ 08830-2749
(732) 452-6000
Mailing address
101 WOOD AVE S, ISELIN, NJ 08830-2749
(732) 452-6000
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
26NO10241000
NJ
Other
Enumeration date
05/25/2007
Last updated
09/20/2013
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