Search › Michigan › 104100000X
Gjenikwa Gonzales
NPI 1851264006 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1407 Prospect Ave Se
Grand Rapids, MI 49507 - Phone
- (616) 217-7679
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-24
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 Michigan