Individual
MS. AMY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20342 FLANAGAN ROAD, TRABUCO CANYON, CA 92679
(818) 582-8832
(818) 582-8836
Mailing address
194 SINCLAIR AVE APT 3, UPLAND, CA 91786-6240
(562) 298-3095
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
246YR1600X
Registered Record Administrator
Primary
—
—
Other
Enumeration date
05/05/2008
Last updated
02/12/2021
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