Individual
ANDREA MARIE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1202 KINGSDALE DR, CORONA, CA 92878-7708
(951) 870-6002
Mailing address
1202 KINGSDALE DR, CORONA, CA 92878-7708
(951) 870-6002
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6193
CA
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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