Individual
NANCY ELIZABETH GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3834 S WESTERN AVE, LOS ANGELES, CA 90062-1104
(323) 373-2045
Mailing address
21450 BURBANK BLVD APT 309, WOODLAND HILLS, CA 91367-7046
(310) 702-3580
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP95007469
CA
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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