Individual
LYDIA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
13605 S VERMONT AVE APT 16, GARDENA, CA 90247
(310) 436-5472
Mailing address
13605 S VERMONT AVE APT 16, GARDENA, CA 90247-2061
(310) 436-5472
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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