Individual
MELANIE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8228
Mailing address
2127 OLYMPIC PKWY. STE. 1006, #123, CHULA VISTA, CA 91912
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
430065
CA
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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