Tina Gonzales

NPI 1336621762 · on the registry since 2018 · sole proprietor

Practice

Address: 928 Jaymor Road Suite B-150
Southampton, PA 19040
Phone: (215) 584-0621
Organisation at this address: Kidology, Inc.
Workers' Choice Pharmacy
Growth Opportunity Center
Growth Opportunity Center
Growth Opportunity Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 67

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-09-01

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 Pennsylvania