Individual
BREANNA MARIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
515 E 6TH ST, ONTARIO, CA 91764-1818
(909) 984-5618
Mailing address
950 W D ST, ONTARIO, CA 91762-3026
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0022053150
—
CA
Enumeration date
02/19/2021
Last updated
03/05/2025
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