Individual
DIANA ANGELICA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
3434 GROVE ST, LEMON GROVE, CA 91945-1812
(619) 889-5718
Mailing address
3434 GROVE STREET., LEMON GROVE, CA 92145
(619) 889-5718
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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