Individual
AMPORA LIANA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16485 FREESIA CT, FONTANA, CA 92336-1465
(909) 714-1613
Mailing address
16485 FREESIA CT, FONTANA, CA 92336-1465
(909) 714-1613
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95016907
CA
Other
Enumeration date
02/18/2021
Last updated
10/27/2023
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