Individual
GERALDINE STEVENS GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 W PALMDALE BLVD, PALMDALE, CA 93551-3104
(323) 586-7336
Mailing address
450 W PALMDALE BLVD, PALMDALE, CA 93551-3104
(323) 586-7333
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
11/08/2021
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