Individual
MARICELA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 897-6000
(323) 846-4410
Mailing address
4104 W 165TH ST, LAWNDALE, CA 90260-3023
(310) 894-1892
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
657376
CA
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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