Kristi Gonzales, PA-C

NPI #1659772242 in Mendota, Illinois

Provider Information

NPI Number: 1659772242
Entity Type: Individual
Name: Kristi Gonzales, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 15, 2014
Last Updated: Jan 19, 2015

Practice Location

Address: 1401 E 12TH ST
City: Mendota
State: Illinois
ZIP Code: 61342-9216
Phone: (815) 538-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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