Individual
ALISHA PAULINE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2055 S STOCKTON ST, STOCKTON, CA 95206-1801
(209) 607-4702
Mailing address
2055 S STOCKTON ST, STOCKTON, CA 95206-1801
(209) 607-4702
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
240279
CA
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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