Individual
MISS ZANDRA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18888 HIGHWAY 18, SUITE 201, APPLE VALLEY, CA 92307
(760) 887-2087
Mailing address
18888 HIGHWAY 18, SUITE 201, APPLE VALLEY, CA 92307
(760) 712-5674
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
00010829
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
821930
MEDICAL MASSAGE THERAPIST
CA
Enumeration date
01/28/2012
Last updated
09/12/2025
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