Individual
MARY ROSE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25466 WHARTON DR, STEVENSON RANCH, CA 91381-1725
(661) 936-0469
Mailing address
25466 WHARTON DR, STEVENSON RANCH, CA 91381-1725
(661) 936-0469
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/18/2023
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