Individual
DIANA JEANETTE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8101 BAY AVE, CALIFORNIA CITY, CA 93505-2695
(760) 373-2979
Mailing address
8101 BAY AVE, CALIFORNIA CITY, CA 93505-2695
(760) 373-2979
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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