Individual
DESIREE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12475 LEWIS AVE, CHINO, CA 91710-2313
(909) 549-0478
Mailing address
12475 LEWIS AVE, CHINO, CA 91710-2313
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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