Jennica Herrod-Gonzalez, CPHT

NPI 1023740578 · on the registry since 2022 · sole proprietor

Practice

Address: 120 W Main St
Russells Point, OH 43348
Phone: (937) 843-2048
Fax: (937) 843-2371
Organisation at this address: Rite Aid Of Ohio Inc
Mary Rutan Indian Lake Pharmacy
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 183700000X
183700000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio