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Jennifer Marie Gonzalez, CNIM,REPT
Electroneurodiagnostic Specialist/Technologist in Scottsdale, Arizona
NPI 1558080671

Jennifer Marie Gonzalez is a Electroneurodiagnostic Specialist/Technologist based in Scottsdale, AZ and is specialized in Electroneurodiagnostic. Jennifer Marie Gonzalez practices in Scottsdale, AZ and has the professional credentials of CNIM,REPT. The NPI Number for Jennifer Marie Gonzalez is 1558080671 and holds a License No. 1703 (Arizona).

The current practice location address for Jennifer Marie Gonzalez is 8655 E Via De Ventura Ste E160, Scottsdale, AZ and can be reached out via phone at 480-596-1686.

Location: 8655 E Via De Ventura Ste E160, Scottsdale, AZ, 85258-3395
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558080671
Provider Name
Jennifer Marie Gonzalez
Credential
CNIM,REPT
Provider Entity Type
Individual
Gender
Female
Address
8655 E Via De Ventura Ste E160, Scottsdale, AZ, 85258-3395
Phone Number
480-596-1686
Fax Number
Provider Enumeration Date
08/23/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1703 01 AZ ABRET
institution
Provider Business Practice Location Address Details
Address
8655 E Via De Ventura Ste E160
City
Scottsdale
State
Arizona
Zip
85258-3395
Phone Number
480-596-1686
Fax Number
person
Provider Business Mailing Address Details
Address
8655 E Via De Ventura Ste E160
City
Scottsdale
State
Arizona
Zip
85258-3395
Phone Number
480-596-1686
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
246ZE0600X
License No.
1703 (Arizona)
Definition
Definition to come...
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