Edward A Gonzalez
Chore Provider in Clare, MI. Individual provider (NPI-1).
NPI number1477288124
StatusActive
Last updated in NPPESJul 18, 2022
Details
- NPI
- 1477288124
- Entity type
- Individual (NPI-1)
- Name
- Edward A Gonzalez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 18, 2022
- Certification date
- Jul 18, 2022
- Last updated
- Jul 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372500000X | Chore Provider | – | – | Yes |
Practice location
307 W Wheaton AveClare, MI 48617-1250
Phone 616-490-1985
Mailing address
307 W Wheaton AveClare, MI 48617-1250
Phone 616-490-1985
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