JAN KENNETH GONZALES

LAKE CITY, FL
NPI1043820376
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  APRN11008439)
Enumeration Date2020-08-02
Last Update Date2020-08-02
Business Address
JAN KENNETH GONZALES FNP-C
4251 NW AMERICAN LN
LAKE CITY, FL 32055-8844
Phone number: 386-758-6143
Mailing Address
JAN KENNETH GONZALES FNP-C
4245 METRON DR
JACKSONVILLE, FL 32216-1012
Phone number: 386-438-4142
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