Individual
GILLIAN MARIE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPA 3701
Contact information
Practice address
500 W CENTRAL AVE STE B, BREA, CA 92821-3036
(714) 529-5022
Mailing address
432 BROADWAY DR, BREA, CA 92821-8010
(909) 816-2056
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3701
CA
Other
Enumeration date
03/04/2016
Last updated
01/19/2024
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