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Individual

GEMMA NATALIE GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1201 N EL DORADO ST, STOCKTON, CA 95202-1306
(209) 468-3760
(209) 953-7914
Mailing address
1201 N EL DORADO ST, STOCKTON, CA 95202-1306
(209) 468-3760
(209) 953-7914

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/15/2012
Last updated
11/15/2012
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