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Individual

KRISTINE GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-2000
Mailing address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-2000

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95000542
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95000542
PNP LICENSE
CA
Enumeration date
07/19/2015
Last updated
09/22/2015
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