Individual
BRENDA PATRICIA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 SOQUEL AVE, SANTA CRUZ, CA 95062-1402
(831) 600-2800
Mailing address
2250 SOQUEL AVE, SANTA CRUZ, CA 95062-1402
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40963
CA
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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