Individual
ANA MARIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 TRAVIS BLVD STE C, FAIRFIELD, CA 94533-4611
(707) 429-8855
Mailing address
25 HOLLYWOOD AVE, VALLEJO, CA 94591-7924
(707) 853-7688
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95264089
CA
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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