Individual
AIDA RAQUEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18008 SKY PARK CIR STE 110, IRVINE, CA 92614-6434
(949) 474-1493
Mailing address
18008 SKY PARK CIR STE 110, IRVINE, CA 92614-6434
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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