Individual
IMELDA E GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 WILSON TER STE 220, GLENDALE, CA 91206-4074
(818) 265-9515
Mailing address
1505 WILSON TER STE 220, GLENDALE, CA 91206-4074
(818) 265-9515
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
H8190
CA
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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