Individual
MS. BERNADETTE LOUISE GONSALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2115 CENTERPOINTE PKWY, SANTA MARIA, CA 93455-1334
(805) 346-7230
(805) 346-7272
Mailing address
300 N SAN ANTONIO RD, SANTA BARBARA, CA 93110-1316
(805) 681-5461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16394
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA16394
MED LICENSE
CA
Enumeration date
07/17/2006
Last updated
03/05/2008
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