Individual
MS. BERNADETTE PAMULO GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
197 N. MOHLER DRIVE, ANAHEIM HILLS, CA 92808
(714) 998-7088
Mailing address
197 N. MOHLER DRIVE, ANAHEIM HILLS, CA 92808
(714) 998-7088
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP 19702
CA
363LF0000X
Family Nurse Practitioner
F1208164
CA
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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