Individual
JOANNA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2711 W DENNETT AVE, #102, FRESNO, CA 93728-2465
(559) 430-7283
Mailing address
2711 W DENNETT AVE, #102, FRESNO, CA 93728-2465
(559) 430-7283
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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