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Jennifer Patricia Gonzales
Specialist in Santa Rosa, California
NPI 1336624915

Jennifer Patricia Gonzales is a Specialist based in Santa Rosa, CA. Jennifer Patricia Gonzales practices in Santa Rosa, CA. The NPI Number for Jennifer Patricia Gonzales is 1336624915 and holds a License No. (California).

The current practice location address for Jennifer Patricia Gonzales is 160 Wikiup Dr Ste 102, Santa Rosa, CA and can be reached out via phone at 707-483-3745.

Location: 160 Wikiup Dr Ste 102, Santa Rosa, CA, 95403-7776
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336624915
Provider Name
Jennifer Patricia Gonzales
Credential
Provider Entity Type
Individual
Gender
Female
Address
160 Wikiup Dr Ste 102, Santa Rosa, CA, 95403-7776
Phone Number
707-483-3745
Fax Number
Provider Enumeration Date
09/28/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12575826 01 CA KAISER
institution
Provider Business Practice Location Address Details
Address
160 Wikiup Dr Ste 102
City
Santa Rosa
State
California
Zip
95403-7776
Phone Number
707-483-3745
Fax Number
person
Provider Business Mailing Address Details
Address
160 Wikiup Dr Ste 102
City
Santa Rosa
State
California
Zip
95403-7776
Phone Number
707-483-3745
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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