Individual
ELISABETH RENAE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 AMBERGATE PL APT A109, RIVERSIDE, CA 92504-2647
(951) 255-7263
Mailing address
7600 AMBERGATE PL APT A109, RIVERSIDE, CA 92504-2647
(951) 255-7263
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
95120051
CA
Other
Enumeration date
01/01/2021
Last updated
01/01/2021
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