Edward A Gonzalez

NPI #1477288124 in Clare, Michigan

Provider Information

NPI Number: 1477288124
Entity Type: Individual
Name: Edward A Gonzalez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chore Provider
Enumeration Date: Jul 18, 2022
Last Updated: Jul 18, 2022

Practice Location

Address: 307 W WHEATON AVE
City: Clare
State: Michigan
ZIP Code: 48617-1250
Phone: (616) 490-1985

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X	Primary

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