Individual
DR. FRED GONZALES NINONUEVO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
NAVAL HOSPITAL CAMP PENDLETON, BLDG H100 ATTN: CODE 094, CAMP PENDLETON, CA 92055-5191
(760) 725-1555
(760) 725-1350
Mailing address
585 LANDS END WAY, UNIT 233, OCEANSIDE, CA 92054-7287
(760) 231-8679
(760) 231-8679
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 1987
MN
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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