Individual
ANTONIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4095 COUNTY CIRCLE DR, RIVERSIDE, CA 92503-3410
(951) 715-5050
Mailing address
1481 WINDSOR DR, SAN BERNARDINO, CA 92404-5416
(909) 361-5470
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/25/2016
Last updated
08/21/2025
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