Individual provider · Type 1 NPI

Ezekiel Gonzalez-Fernandez

Student in an Organized Health Care Education/Training Program · Jackson, MS

NPI number 1538801212 Active

Practice location

1921 Petit Bois St N
Jackson, MS 39211-6708

Call (716) 348-6067 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1538801212

Ezekiel Gonzalez-Fernandez's National Provider Identifier is 1538801212, issued on Apr 12, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, MS. The record was last updated on Apr 12, 2022.