Individual
MRS. ELISHA MARIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 E THELBORN ST, WEST COVINA, CA 91791-1442
(626) 915-3844
Mailing address
1825 E THELBORN ST, WEST COVINA, CA 91791-1442
(626) 915-3844
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
694433
CA
Other
Enumeration date
08/08/2019
Last updated
01/15/2023
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