Individual
VANESSA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9426 NANCE AVE APT 103, DOWNEY, CA 90241-5563
(323) 485-8156
Mailing address
9426 NANCE AVE APT 103, DOWNEY, CA 90241-5563
(323) 485-8156
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
00025603
CA
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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