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Individual
MS. VERONICA A GONZALES
Active
Individual
MS. VERONICA A GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12489
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
318979600
DEPARTMENT OF LABOR
CA
01
—
970013241
RAILROAD PROVIDER NUMBER
CA
01
—
OPA124890
MC PTAN
CA
Enumeration date
10/12/2006
Last updated
12/02/2008
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