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Jennifer Marie Gonzalez, CNIM, R.EP.T

Specialist/Technologist, Other, Electroneurodiagnostic in Scottsdale, AZ. Individual provider (NPI-1).

NPI number1558080671
StatusActive
Last updated in NPPESApr 14, 2023

Details

NPI
1558080671
Entity type
Individual (NPI-1)
Name
Jennifer Marie Gonzalez
Credential
CNIM, R.EP.T
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 23, 2022
Certification date
Apr 14, 2023
Last updated
Apr 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic1703AZYes

Practice location

8655 E Via De Ventura Ste E160
Scottsdale, AZ 85258-3395

Phone 480-596-1686

Mailing address

8655 E Via De Ventura Ste E160
Scottsdale, AZ 85258-3395

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