Cassidy Elaine Gonzalez
Cassidy Elaine Gonzalez is a Student in an Organized Health Care Education/Training Program in Provo, Utah. Licensed in Utah. Registered with an NPI since 2021.
- Licensed in
- UT
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
116 N 700 EProvo, UT 84606-3321
Phone: (435) 770-2898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 124608261206 (UT) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1689348229 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 6, 2021 |
| Last updated in NPPES | September 16, 2021 |
| Certification date | September 16, 2021 |
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