Individual
MS. JEANETTE C. AUZENNE-GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
644 FIREPIT DR, DIAMOND BAR, CA 91765-1009
(909) 861-7407
Mailing address
644 FIREPIT DR, DIAMOND BAR, CA 91765-1009
(909) 861-7407
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
388073
CA
Other
Enumeration date
12/12/2007
Last updated
01/04/2008
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