Individual
IVONNE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42455 LANE RANCH RD, LANCASTER, CA 93536-4452
(661) 722-0716
Mailing address
5632 W AVENUE L8, LANCASTER, CA 93536-3713
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
95242472
CA
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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