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NPI Code Detail

MEDICARE: ANAWILDA GONZALEZ GONZALEZ HHA

MEDICARE:   ANAWILDA  GONZALEZ GONZALEZ  HHA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care AttendantOH

General Provider Information

NPI Number : 1700742699
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANAWILDA GONZALEZ GONZALEZ HHA
Provider Business Mailing Address
First Line : 3492 W 50TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-5859
Country : US
Telephone Number : 216-280-1022
Fax Number :
Provider Business Practice Location Address
First Line : 3492 W 50TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-5859
Country : US
Telephone Number : 216-280-1022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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Directions to “ ANAWILDA GONZALEZ GONZALEZ HHA” Practice Location

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