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Individual

ELIZABETH GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
852 CREST DR, CHULA VISTA, CA 91910-6505
(619) 650-4688
Mailing address
852 CREST DR, CHULA VISTA, CA 91910-6505
(619) 650-4688

Taxonomy

Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary

Other

Enumeration date
11/15/2023
Last updated
11/15/2023
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