Individual
EILEEN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 S GARFIELD AVE, MONTEBELLO, CA 90640-3810
(323) 869-9255
Mailing address
1235 RONNIE ST, WEST COVINA, CA 91792-1331
(626) 373-6030
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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