Individual
LUZ PATRICIA GONZALEZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10622 MIAMI AVE, BLOOMINGTON, CA 92316-2641
(909) 437-6393
Mailing address
10622 MIAMI AVE, BLOOMINGTON, CA 92316-2641
(909) 437-6393
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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