Individual
CAROLINA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
712 PASEO DE SU ALTEZA, CALEXICO, CA 92231-3307
(760) 234-1014
Mailing address
712 PASEO DE SU ALTEZA, CALEXICO, CA 92231-3307
(760) 234-1014
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
95123825
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
08/28/2023
Last updated
01/18/2025
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