Individual
SAMANTHA ELENA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N JOHNSON AVE STE 101, EL CAJON, CA 92020-1651
(619) 691-8164
Mailing address
1400 N JOHNSON AVE STE 101, EL CAJON, CA 92020-1651
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-FXKZTP
CA
Other
Enumeration date
02/14/2026
Last updated
02/14/2026
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