Individual
SELENA ESTEVAN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 LINDA VISTA DR SPC 228, SAN MARCOS, CA 92078-6335
(858) 753-3601
Mailing address
2240 BEAR VALLEY PKWY APT 87, ESCONDIDO, CA 92027-3826
(760) 532-0457
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F2631721
DRIVER LICENSE
CA
Enumeration date
06/13/2025
Last updated
06/13/2025
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