Individual
JACQUELINE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11100 ARTESIA BLVD STE A, CERRITOS, CA 90703-2547
(424) 867-7159
Mailing address
11100 ARTESIA BLVD STE A, CERRITOS, CA 90703-2547
(424) 867-7159
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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